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MARION COUNTY BUILDING INSPECTION <br />~en~t~r B!dg, No,, ~.5 <br />220 High Street NE <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Phone;; <br /> <br />S~te'N0'- <br /> <br />,~hone:i <br /> <br />MailingAddress ..... ,', l/ , ~ <br />Cross Street '/' <br /> <br />Addies~"' <br /> <br />Residential:: [] New:: [] Addition;: [] Occupancy Use of Building:; <br />Commercial:; ~ Alteration;; ~ Relocation:: [] Change [] ~ <br /> <br /> NO FEE AMOUNT <br /> Base Price $20,00 <br /> Residential <br /> New construct[on (each fixture) ~ $ 900 <br /> Alterations (each fixture) ........... ."~-~ ' 9.00 ~.~,=~,~ <br /> Re-located R~e=sidence (each fixture) , ,4,;~? ......... <br /> Commercial <br /> New Construction (each fixture) 9 o0 <br /> Alterations (each fixture) ~ gO0 ~/~s. C O <br /> Water Lines <br /> For the first 100 feet or fraction thereof 20.00 <br /> For additional 100 feet 1500 <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof g0.00 <br /> Additional 100 feet 15,00 <br /> Mobile Horce ~ewer/water connection <br /> (maximum 5 feet length) 25,00 <br /> Other (as per OSPSC and Building Official) <br /> On-Site Technical Review (apply et Marion County only) <br /> Re-Inspection Fee 2500 <br /> FEE $ <br />STATE SURCHARGE .~, ~ ~;~ O <br />PLAN REVIEW FEE <br />INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION ~c.~A,~[~m:: ;~ <br />with the indicated fee. CITY FEE $ <br />TOTAL $ <br /> <br />I em ~ registered builder OR ( ) the authorized representative of <br /> <br />The work will be performed by ~ registered builder <br />Other <br /> <br />MC 1545 <br />Rev, 12~7 <br /> <br /> <br />