Laserfiche WebLink
COMMU r <br /> ~5 ~h St ~ · R~m 132 <br />FOR C~ ~~~ON[ <br /> <br />1. L~A~ON OF ~~ON USE qF~U~: <br /> ~ ~~ON <br /> <br />l~.Mrrs ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT [ <br />STAR'i~ WITHIN 1~0 DAYS OF ISSUANCE OR IF <br />WORK IS SUSPENDED FOR 1~0 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONI.Y <br />Con~ractor [ <br /> <br />Mainng Ad~ <br /> <br />Comt~tor's Boa~l R~g. No. <br /> <br />loum~man's Plu~ben No. <br /> <br />C~omractor's Signature: <br /> <br />2~. FOR OWNIIR INSTALLATIONS <br /> <br />Af~nt's Signature: <br /> <br />BAS~ FEE <br /> <br />RESII~NTIAL (each fixture) <br /> Aurora Dwelling Plumbing Fee <br /> <br />Single Family or multi-fnmily per <br />dwelling unit <br /> New construction <br /> Alterations <br /> Reconnect <br /> Relocated Structure <br /> Modulnr Structure <br /> <br />WaterLines <br /> Ftmt 100 fi. or traction ~hereof <br /> For ea. addnl' 100 ft. (up to <br /> maximum of 500 fl.) <br /> <br /> Fire 100 fi- or fraction thereof <br /> For nddnl' 100 fi- (up to <br /> maximum of 500 fL) <br /> <br />COMMERCIAL (esch fixture) <br /> <br /> New construction <br /> <br /> R~connect <br /> <br />Water Lines <br /> F~rst 100 fi. or fraction lhereof <br /> For ea. addnl' IOO ft. <br /> <br />Sanitary & Storm Lines <br /> ltrn~t 100 fi- or fraction thercof <br /> For addni' 100 fi. <br /> <br />PROTECTIVE BACI~I~W DEVICE <br /> Lawn vacuum breaker (sprinkler system) <br /> <br />OTHRR (as required by 05P~C <br /> and Bulling O~ci~i) <br /> <br />DWBLLIHO PERMIT LABEL # of Labels <br /> <br />$10.00 <br />$10.00 <br />$~.OO <br />$~.00 <br />$5.OO <br /> <br />$15.00 . <br /> <br />$15.00 ~ <br /> <br />$10.00 ., <br />$10.00 <br />$10.00 ,, <br /> <br />$25.00 <br />$15.00 <br /> <br />$30.OO , <br /> <br />$15.OO <br /> <br />$4,50 <br />$~0.OO ~ <br /> <br />N/C <br /> <br />3. PLAN REVIEW SBCTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />MC 15-45 <br />Rcv. !/96 <br /> <br />Al. ~ total of fees from Sec. ~4 <br />,tO.. Add 5% surcharge (.05 x Al) <br /> Subtotal <br /> <br />B. Enter 25% of line A1 for Plan Review <br /> (A 1 + ~.5), if required <br />C. Investigation Fee (if required) <br />D. l~=t~'~....F__($£3.~, ~4~ ~ <br /> , .,~ TOTAL AMOUNT DUE <br /> <br /> <br />