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PLUMBING PERMIT APPLICATION <br /> <br /> W r:: ............'."' ,,'P~°~'~::~;~-, MailingAddre'ss;: <br /> <br /> Plumbi0g Installe~ - J ~hone:: ~ddresa;; <br /> <br />~ame 8~ilder~ flegistrat[0n N~ " <br />· ~ideotial~'" ~' NEW:: ~" Addition:: '~ ~ Occupancy Use of Buildlog:: <br />Commercial:: ~ Alteration:: ~ Relocation::~ ChA~ge: <br /> <br /> NOi FEE AMOUNT <br /> Base Price .,~ <br /> Resident[~l <br /> New cons{ruc?on (~ach fixture) $ 9,00 ...... <br /> Alterations (each fixture) 9,00 <br /> Re'located ReCdence each fixt0m) 4.50 <br /> Commemiat <br /> New'Oonstru'~tion (eacll f!x. ture 900 <br /> Al_t.eratlons (each fix!Hre) .... 9 09 <br /> Water Lines <br /> For the first 100 feet or fraction thereof 2000 ,.~ <br /> For additional 100 feet 1500 <br /> Sewer Service Lines <br /> First 100 fe.~,t or fraction them. o! 30.00 <br /> Additional 100 feet 15,00 <br /> Mobile Home sewer/water connection <br /> (maximum 5 feet length) 25,00 <br /> (~ther (as per OSPSC an.~'Buildin.g Official ..... <br /> Oe-Si!e Technical Review (apply at Marion County only <br /> Re-inspection Fee 2500 <br /> STATE SURCHARGE <br /> r'LAN ~EV,~WrEE $ <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE <br />with the indicated fee,, CITY FEE $ <br />TOTAL <br /> <br />,~ 73~ <br /> <br />Other, <br /> <br /> <br />