Laserfiche WebLink
FOR CITY V~&IDA~XON{ <br />Re~elved by:~4 <br /> / <br /> <br />PLUMBING PERMIT APPLICATION <br />Please complete all Sections, I through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />MARION COUNTY BUILDING INSPECTION ~X~-i-i~/~ ~ ~,~'~l~-~ <br /> COMMUNITY DEVELOPMENT CENTER n~,,~_~~ J ~ [ ] ] ] <br /> <br /> D e: JUH !99 <br /> 24 hr. lnsp~fion L~e 3~27 <br /> F~: S~7~8 BUILDING iNSPECTION <br /> <br /> ~~ ~ CO~CI~ Q <br /> ~B OF ~UC~: <br /> ~ Q ~T[ON Q ~D~ON ~ ~CATION ~ <br /> <br /> PERM1TS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br /> STARTED WITHIN 180 DAYS OF ]SSUANCE OR IF <br /> WORK IS SUS~ED FOR 180 DAYS. <br /> <br /> CONTRACTOR INSTALLATION ONLY <br /> <br />Contractor', Boa~d Rng. No. ~.~]~0 { {obNo.. <br /> <br />City/StateYZip <br /> <br />Owner's Signatm-e: <br /> <br />A~nt's Sigmmm: <br /> <br /> No. X Fee = ~m <br />BA,~ FEB <br /> <br />RBSIDEI~ri'IAL (each fixture) <br /> Aurora Dwelling Plumbing Fee ___sq. it. x $.070 <br /> <br />Single Family or multi-family per <br />dwelling unit <br />New eons~clion ~ $10.00 <br />Alteratiom $10.00 <br />Reconnect $ 5,00 <br />Ruloeated smgmre $ 5,00 <br />Modular Straeatte $ 5.00 <br /> <br />Water Line~ <br />Fkst 100 ti. or fraction thereof $20.00 <br />For ea. addnl' 100 ft. (up to <br />maximum of S00 ff.) $15.00 <br /> <br />Sanilaty & Storm Line~ <br />First 100 fi. or fraction th~of $30.00 <br />For addnl' 100 ft. (up to <br />maximum of 500 fl.) $15.00 <br /> <br />COMMERCIAL (each fixture) <br /> <br /> New construction $10.00 <br /> Alle~ationa $10.00 <br /> Reconnect $10.00 <br /> <br />Water Lines <br />F'uat I00 ft. or fraetinn thereof $25.00 <br />For ea. addnl' 100 ft. <br /> <br />Sanitary & SIonn Lin~ <br /> First 100 fl. or fraction th~of <br /> For addal' 100 fl. <br /> <br />$15.00 -- <br /> <br />$15.00 <br /> <br />PROTECTIVE BACKFLOW DBVICi] <br /> Law~ vacu~ breaker (sininkler system) <br /> All others <br /> <br />OTHER (,~s tequi~d by OSPSC <br /> attd ~uilffiag 085eial) <br /> <br />$4.~0 <br />$10.00 <br /> <br />DWELLINO PERM1T LABEL # of Labels NIC <br /> <br />3. PLANREVIBW 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 />Rev. 1/96 <br /> <br />Al. Enter total of fees from Sec. g4 <br />A2. Add5% surcharge (,05 x Al) <br /> <br />Subtotal <br /> <br /> <br />