Laserfiche WebLink
IPLUMEHNG PERMIT APPLICATION <br />Please complete ail Sections, I through 5 <br /> <br />MARION COUNTY BUILDING I~PEC~ (-~~ <br /> COMMUNITY DEVELO.PMENT CENTER ~1-~(~, ~"~lll l .... <br /> 285 Church St NE Room 13'2 [~P" ' ~ <br /> <br /> ~.r Inaction Line: 58~7~ .... ~ARION COON~ <br /> Om~: S88-5147 8:~,.m.-4:30p.m. i°ou~l~N <br /> F~: ~g-79~ <br /> <br />  4. FB~ SCHWAB (Complete ~nd ~nl~ to~l in A1 below) <br /> <br /> RES~E~I~ ~ CO~BRC~ ~ <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />STARTED WITI-IIN 180 DAYS OF ISSUANCE OR IF [ <br /> WORK IS SUSPI~NDED FOR 180 DAYS. ] <br /> <br /> FOR oWNIiR IAISTALLATIONS <br /> <br />C [ly l$~,a'~Z, ip ................. <br /> <br />3. PLANRIZVIGW SECTION <br /> <br />Marion County does not require a plan review, <br />We will provide plan reYiew service if you complete <br />Section 5B and submit two (2) sets of plans and <br />sp¢citicadons with this application. <br /> <br />IC 15-45 <br />.~g 12~t~ <br /> <br /> USE OF STRUCTURE: <br /> NEW [] ALTERATION [] ADDITION r_j RELOCATION <br /> <br /> No. X F~ ~ Sum <br />BASE FEE $20.0O <br /> <br /> (e~¢h fixmee) <br /> : Plumbiag Fee sq fl. x $ 065 = <br /> <br /> First I(X) ft. or feactloa fl~ereof $20,00 <br /> muximum o1'500 lt.) $15.00 <br /> <br /> Ap.~ra~.iom . $10,00 <br /> $10.00 <br /> <br /> Fi~ I~ fl. or fraction ~e~f <br /> maximum of 5~ fi,) $15.00 <br /> <br />Fimt l~ fi, oz' fraction fl~er~f $~,00 <br />maxhnum o[5~ ft.) ~.- $15.00 <br />PROTECTIVE BACKFLOW DEVIC~ <br /> <br />~HER <br /> an~ Bulld~o~ <br /> <br />DWELLING PERM IT L~BL <br /> <br />5. Al, Enl~r wtalof f0e~ from Sec. #4 <br /> A2, Add 5% surcharge (.05 x Al) <br /> <br />B. Enter 25% of line Al for?lan Review <br /> (At + .~5), if required <br />C. lnvestisation Fee ({fmq~&vd) <br />D, Reimpe~tkmF~e ($~5,~) <br /> <br />Rece pt Ho...~,t TOT~ ~0~ DUE <br /> <br />$ <br />$ <br /> <br /> <br />