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· Recek;~d By: ~' F'"P"'it-~
<br /> Date: ~'""[ ~'-~{
<br />
<br />MARION COUNTY BUILDING INSPECTION
<br />senator Bldg. No. 225
<br />220 High Street NE
<br />
<br />PLUMBING PERMIT APPLICATION
<br />
<br />Owner:~,~/ '/~ _.4... Phone: ' Mailing Address:
<br />
<br />plumbing Installe~ Phone~ AddresS:
<br />
<br />Hom~'~l~der~ RegistrationS.: , ' ~ " , ·
<br />
<br />Residential: ~ [ New: ~'- Addition: ~ Occupancy Use ~ Building:
<br />Com~i~l: ~ Ateraton: : Relcoetio.n:
<br />
<br /> I Sea r
<br /> , NO. FEE AMOUNT
<br /> e P ice
<br /> , $20.00
<br /> Residential ' , i ....... ',
<br /> New construction each fixture), . .... $
<br /> ., Alterations (each f xram) · 9.00
<br /> I~esidenco (es tu '
<br /> Reulcoated "
<br /> chfix re 4,50
<br /> Commercial · '
<br /> New Conetruc{ on (each f xtum) 9.00
<br /> Alterations (each fixture ' ' .. 9~00 ,.
<br /> "~ater Lines .....
<br /> · For the f ret 109 feet or fraat on thereof . 20,00
<br /> Per additional 100 feet 15.00
<br /> Sewer Service Lines .
<br /> hereof .....
<br /> First 100 [eet or fraction t , · - 30,00
<br /> Addtona ~oo,'feet ,, ,
<br /> , :, 15,00
<br /> L, .Mo~'l~,~e~pi'N/~t~r,conriactibn', ', ........ .', , ~ ·, , , , .
<br /> (maximum 5 feet length) 25,00 ~'~ ~, ~ 0
<br /> Other (as per OSPSC end Building Official)
<br /> On-Site Technical Review apply at Marion County only.},.,
<br /> Re-lnsp6ctton Fee , 35,00
<br /> ' ,.,',:, : .... ' I · , FEE $ ~'-,~0
<br /> , , ,' .... , : ', .... STATi: SURCHARGE
<br /> ' ' : .'"'~' .' " PLAN REVIEW FEE $ ,
<br /> .... :,' ~ , , , iNVS$,,~iGATiON FBB
<br />Please return COMPLETE APPLICA"~ION' ........ , ' FLEET SURCHARGE $
<br />with the indicated fee. ' ' ' CITY FEE $_.._~,
<br />' TOTAL $
<br />
<br /> am a registered builder OR I ) the authorized representative of
<br /> S rsglsrere~ Cullser.
<br />t The wore wilt be performed by a mglsremd builda£
<br />
<br />MC 15-45
<br />Rev. 12/87
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