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P~ece~ved By: ~ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4:30 eM, - 8:1~) A,M, <br /> <br />ewer: Phone: Mailing Address: <br />Job A~e~ Site No,: Cross 8treat: ' <br /> <br />Pl~pblngln~taller:~ .", ' Phone: Add.ss: ' <br /> <br />HomeBu der~Regstra~onNo.: / ' <br />Resldentiel: ~ New: ~ <br />Addition; D O~upancy Use of bul ~ ng , <br />Comme~iah ~ A teraton: ~ Relocation: ~ C,ange: ~ ~/~ ~4 ~ <br /> <br /> NO. FEE AMOUNT <br /> Bess Price $20.00 <br /> Residential <br /> '" New construction (each fixture , ~.~ $ 9.00 <br /> Alterations (each fixture ,"~ '~ 9,00 .; <br /> Re-located Res dance (each f xture 4.50 <br /> Commercial <br /> New Constriction (each fixture) ., ' ,, 9.00 <br /> Alterations (each fixture) 9.00 <br /> 'Water Lines <br /> For the first 100 feet o~ fraction thereof 20.00 <br /> For addltionaJ 100 feet 15.00 <br /> Sewer Service Lines ' <br /> First 100 feet or fraction thereof '" <br /> 30.00 <br /> Additional' 100 feet ' ' 19.00 <br /> Mobile Home sewer~,ater cohnection " . <br /> <br /> (maximum 5 feet length) ' 2=5.00 <br /> Other (as per OSPSC and Building'Official) <br /> On-Site Technical Review (apply at Marion County only) <br /> Re-Inspection Fee 25.00 ' <br /> STATE SURCHARGE .~. ~,_~'"' <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SUI~CHARGE$ ~$ <br />with the indicated fee. C~TY FEE <br /> <br />, ~t~ I am a registered builder OR. ) the authorized representative of ~IGNATURE Of AP ~ ~ <br /> <br />MC 15-45 <br />Rev. 12/~7 <br /> <br /> <br />