Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br />Received By:; Sens4,o r BId9, No, <br /> <br /> -~ ~A©, <br /> ~'PLUMplNG~ :'-- PERM T APPLICAT ON <br /> <br />Owner. ' ......... ~ ~' ~ '~.L', ~' ': ' Phon~:' M,~,iling. Addmss:; <br />Plumbin~ Ins~er ~ ~7 ' ' Address::~[~ <br />Home Builder~ Registration No~ ~ ~ ~ ~ <br /> <br />Reside~ial;;' ~ ~ New D Addition;; ~ Occupancy"'"'" 'U~o~ilding , /~ <br /> <br /> NOi FEE AMOUNT <br /> Base Price $20,00 <br /> Residential <br /> ........ oon tr.ction (e ch f ×f';'rei ..... - ....................... ' ........... $ g O0 <br /> Re-located Residence (each fixture). .............. 450 <br /> Commercial <br /> New Const~'u;;tion (each fixture) .............. 9,00 <br /> Alterations (each fixture) 900 <br /> Wate~'L'in'es ................................. <br /> For the first 100 f~;i"o~ fraction thereof .............. 20 00 <br /> For add~tloaa~ 100 feet 1500 <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof 30,00 <br /> Additional 100 feet 1500 <br /> Mobile Home sewer~vater connection <br /> (maximum 5 feet length) 25,00 <br /> Other (es per OSPSC and Building Offlei~,l ' . ............. <br /> .On-Site Technical Review apply at .~arJon County only ........ <br /> Re-inspection Fee 25,00 <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE ,_$ <br />INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEETSURCHARGE <br />with the indicated fee, ciT~' FEE $ ~ ~ , ~ ~,~ <br /> <br />(~/) I am a registered builder OR ( ) the authorized representative of SIGNATURE OF APPLICANT <br /> <br />( ) The work will be performed by a registered builde[ <br />( ) Other <br /> <br />MC IS-45 <br />Rev, <br /> <br /> <br />