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MARION COUNTY BUILDING INSPIICTIOlq <br /> <br /> 285 ~urch St NE · Room 132 <br /> FOR CWY V~DATIONI. <br /> R~*i~ by:~ ~ Date: <br /> ~te: f-/- ~ ~ 'l ~4~ l~e~n Line 3734427 <br /> <br /> PLUMBING PERMIT APPLICATION - I.~,~,, <br /> m~e ~mp,e,o ~, ~ttons, . .,,rough ~ .I ' '-- / <br /> <br /> 1. LOCATION OF ~LATION BOl~m~ ,, .... bsa OF ~UCT~: <br /> -- ~ - ''U I~ [C~J~ ~AL~TION <br /> <br />I ' / J~ <br /> . S:~le Famdy or malts-family p~ <br /> <br /> pERIVHTS ARE NON-TRANSFERABLE AND EXPIRI~ IF WORK IS NOT <br /> STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />2A. CONTRACTOR INSTALLATION ONLY <br /> <br />Mailing Addr~s <br /> <br />~mn~ng Boaxd: <br />Contractor's Board R~g. No. [ lob No. <br />Journeyman's Plumber's <br />Contractor'a Signature: <br /> <br /> Reconnect $ 5,00 <br /> Relocated Structure $ 5.00 <br /> Modular Structure $ 5.00 <br /> <br />Water Lin~a <br />First 100 ft. or fraction thereof $20.00 <br />For ea. addal' 100 ft. (tip to <br />maximum of 500 ft.) $15.00 <br /> <br />Sanitary & St(nm Lines <br />Fiat 100 ft. or fraction thereof $30.00 -- <br />For addnl' 100 ft. (up to <br />maximum of 500 ft.) $15.00 <br /> <br />COMMERCIAL (each fixture) <br /> <br /> New construction $10.00 <br /> Alterations $10.00 <br /> R¢conn¢*t $10.00 <br /> <br />Water Lines <br />First 100 ft. or fraction thereof $25.00 -- <br />For ea. addlal' 100 ft. <br /> $15.00 -- <br /> <br /> $15.00 <br /> <br />PROTECTIVE BACKFLOW DEVICE <br />Lawn vacuum breaker (sprinkler system) I $ 4.50 <br />All othca $10.00 <br /> <br />OTHER OsrequitedbyOSPSC <br /> and Building OBiciaO <br /> <br />DWELLING PERMIT LABEL # of Labels <br /> <br />3. PLAN REVIEW SECTION <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 />5. F]~ES <br />Al. Emer total of fees from Soc. g4 :~ <br />A2. Add 5,% aumberg~ (.05 x Al) <br /> B. ~ter 25~ ofl~e Al for Plan Re~~l~ $~ <br /> (Al + .25), if ~qui~d $.~ <br /> C. Investigation FOe (if ~qui~d) $.~ <br /> D. Rei~pection Fee (~5.~) $_~ <br /> <br /> <br />