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/~ /- MARLO? COUNTY BLffLDING INSPECTION <br /> <br />Job Address;: <br /> <br />P~bing Instal~er <br />Home Boil{let's Registration No, <br /> <br />Residential:; <br />Commercial:; <br /> <br />Site No,:; <br /> <br />Phone:: <br /> q- <br /> <br />New ~ Addition:: [] <br />Alteration:: [] Relocation:: [] <br /> <br />Occupancy Use of Bm. tilding:: <br /> <br /> NO, FEE AMOUNT <br /> Base Price $2000 <br /> Residential <br /> New construction (each fixture) '$ 9(30 ...... <br /> Alterations (each fixture) 9,00 <br /> Re-located Residence (each fixture) 4,50 <br /> Commercial <br /> New Construction (each fixture) 9,00 <br /> Alterations (each fixture) 900 <br /> Water Lines <br /> the first 100 feet or fraction thereof ~ ¢/ ....... 2000 c~-~t, <br /> For <br /> ~or additional 10o feet ..... 15oo <br /> Sewer Service Lines <br /> Fi.,.~rst 100 feet or fraction thereof /¢ 90,00 ~'"l¢, ¢ 0 <br /> Additional 100 feet 15,00 <br /> Mobile Home sewerhvater connection <br /> (maximum 5 feet length) 2500 <br /> Other {as per OSPSC and Building Official) <br /> On-Site Technical Review {apply at Mar~on County only) <br /> Re-Inspection Fee 25,00 <br /> FEE $ ,.~"-~, ~ ~ <br /> STATE SURCHARGE .,__,.._~ ,..¢' ~ <br /> PLANREVIEWFEE $ <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEETSURCHARGE $ ~'.~/-j <br />with the indicated fee CITY FEE $ ~ .,~'~:~, <br />TOTAL $ ~,~-4~. ~:~V2/ <br /> <br />I am a registered builder OR ¢.w~n e authorized representative of $1G NATUFiE OF APPLIC ~ ~ <br /> <br />The work will t~e performed by e registered b~ilder <br />Other. <br /> <br />MO 15-45 <br />Rev f2/87 <br /> <br /> <br />