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II=OR CXTY Va~XDATIONI <br /> <br />COMMUNITY DI~VELOPMENT CENTER <br /> <br /> 588-5147F~: 588-7948B:~ a.m. - 4:30 pan. <br /> <br />PLUMBING PERMIT APPLICATION <br />Please,,~omploto all Sections, I through <br /> <br />1, LOCATION OF INSTALLATION <br /> <br />PERlvETS ARE NON-TRANSFERABLE AND ]~/PIRE IF WORK IS NOT <br />STARTED 'WITHIN l~ DAYS OF ISSUANCE OR IF <br /> WORK IS $USP~ND~ FOR 180 DAYS. <br /> <br /> CO~CTOR ~LATION O~Y <br /> T <br /> <br />2~. FOR OWZ,,BtR I~ISTALLATIONS <br /> <br />Mailing Address__ I Phone <br /> <br />3. PLAN RBVIttW SBCTION <br /> <br />Marion County does not require a plan review, <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application, <br /> <br />MC 15-45 <br /> <br /> FEI~ SCHI~DLrLB (Complete arid enter IolaI in Al below) <br /> <br /> RBS~I~ ~ CO~CI~ <br />US~ OF STRUCT~: <br /> NEW ~ ~L~RATiON ~ ADDITION ~ R~LO~TION <br /> <br /> Am"oraDw¢lllng9lomgingt%e ~ sq.n. xS.065 ~q.~ <br /> <br /> New construction ~ $10,00 ~-- <br /> Alwrmiom ~'~ $10,00 .... <br /> Reconnect $ 5.00 <br /> <br /> ~imt 1~ fl- or fra~don ~egof $20.00 ~ <br /> For ea. ad~ll' 100 fl. (up ~) <br /> maximum of S~ fib $15.00 <br /> <br /> ~ot 0tidal' 100 fl, (up m <br /> m~imum of 5~ ti.) $15.~ ~ <br /> <br />CO~RCi~ (~ch Cmtur~) <br />New ~nst~ction .~ $ i0.~ ~ <br />Remnneet . ~ $10.00 <br /> <br />$25.00 <br /> <br />$15.(10 <br /> <br />$30.00 <br /> <br />$15.00 <br /> <br /> Lawll vacumn breaker (spril&lcr sy¢~m)~__ $ 4,50 ~ <br /> <br />OTHER (bs tequircdbyOSP~ <br /> afld Buildi~ Or, cia0 <br /> <br />DWeLlING P~ITL~EL ~ol'~be[~ ~ . N/C <br /> <br /> Al. Eater total ot't~e5 t~m S~. g4 $~ <br /> AZ Ad~ 5% sumharge (.05 x Al) $ <br /> SubtotM $~.~ <br /> <br /> (A I + .25), if ~ulrcd $,~ <br /> C. Investigation Fe0 (if required) $~ <br /> D. Reimpg¢tion Fee ($25.(~) $ ..... <br /> <br /> <br />