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__.M/~ON COUNTY BUILDING INSPECTION <br /> PLUMBING PERM T APPLICATION <br /> <br />Owner:--'..-. ~ ,., Phone: , , Mailing Address.~-~ __ <br />Home Builder~egistretlon No.'. ] ' <br /> <br />C~mmercial; ~ ~ Alteration: ~ Rel~ation: ~ Change: <br /> <br /> NO, FEE AMOUNT <br />Ba~e Pdc~ <br /> <br />Residentie <br /> New construction (each fixture) ,.4 <br /> <br />Alterations [each fl×tufa, <br /> <br />Re-10catgd Resldenc~ ,each fixture) <br />Commercial <br /> <br />New Construction (each fixture/ <br /> <br />Alterationa reach flxturel <br /> <br />water Lines <br /> <br /> For the first 100 feet or fraction theceof <br /> For additional 100 feet <br />Sewer Service Lines <br /> <br /> Addi!iona1100 feet <br /> <br />Mobile Home sewer~vater connection <br /> Imaximum 5 feet length) <br /> <br />_Other (as Der OSPSC and Building Official) <br /> On-Site Technical Review [apply al Marion Coun~ oniy) <br /> <br />Re-lnsoec~ion Fee <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee. <br /> <br />(X) lamoerformlngworkon~proper~ylownoroccapy, <br />( ) I~mamglstoredbuifderOl~[ )meau~horzedreomsentaflveof <br /> a registered builder. <br />(,~) Thewar~will~,;~e~ertormed~aregisfered~uilde~ <br />( ) Other <br /> <br />$ g,00 <br /> <br />g,00 <br /> <br />4.50 <br /> <br />9,00 <br /> <br />9.00 <br /> <br />20.00 <br /> <br />30.00 <br /> <br />25.00 <br /> <br /> 25,00 <br /> <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE <br /> 'NVESTIGATION FEE <br /> <br /> Cl'Pf FE~ <br /> TOTAL <br /> <br />SIGNA~RE OF APPL~CAN~ ~ -- <br /> <br />Rev, 12/87 <br /> <br /> <br />