Laserfiche WebLink
02/23/96 08:59 ~503 945 5289~) DMV BUS REG [~002/002 <br /> 02/23/96 09:50 8503 588 7948 -~-~-~ DIlV BUS REG ~002 <br /> <br /> M~ON CO~ B~mO ~SPECTION ] i~ ' ~llll <br /> ~MM~YD~LOPME~C~R p~~oF~n _ ~ ~. ~ <br /> <br />PLUMBING PERMIT APPLICATION <br />Please complete all ,~ction$, I through <br /> <br />Joumeymm'a Plumber~ No. <br /> <br /> FOP, OWIq~R INSTALLATIONS <br /> <br />Owa~r'f Sign ~ <br /> <br />3. PLANR~VIIiW SECTION <br /> <br />Marion Coun~ d~s ~t r~uire i plan review. <br />Wc will provide plan review se~ie if you complete <br />S~fion 5B and submit ~o (2) ~ts of plans ~d <br />~cifications wi~ ~is application. <br /> <br />MC 1545 <br /> <br />4. FJ3B SCHHT)ULI3.(Completc and eater total in A! b~low) <br /> <br /> RBSIDENTIAL ~1 COMMI~CIAL Q <br />USIi OF STRUC'IqJR.G: <br />~sw u ~'rszA'noN r, k~brnoN d ~"J-OC^TlO~ o <br /> <br /> No. X Pm .~ ~um <br />BASE Fl~B ~0.OO <br /> <br />RI~SlDBNTIAL (each fmu~) <br /> Aumm Dwelllnf Plumbie. f Foe <br /> <br />Shgle F~ily or muhi~ per <br />dweK~ unh <br /> ~ ~cgon <br /> <br /> Rt~ect <br /> Rel~at~ St~t~ <br /> ~dula~ ~tu~ <br /> <br />$ $.OO <br />S5.OO . . <br /> <br />Wstsr I..in~s <br /> P'u~t 1(30 ~t. or fraction <br /> For Oc, mddni' IOO IL (up lo <br /> maximum of.~O IL) <br /> <br />S20.OO <br /> <br />$15.00 <br /> <br />S~niary & Storm Linoc <br /> FEat 1~0 It. or fraction <br /> For addnl' !00 IL (up to <br /> maximum of 500 ft.) <br /> <br />S30.OO <br /> <br />$1LOO _ <br /> <br />COMIV~RCI~ (each £~ttuts) <br /> <br /> N~w ~onslm~tlon <br /> Al~tiom <br /> Reommect, <br /> <br />Wetor Line~ ' <br /> r-t~t IiX} ~ or fraction <br /> Fer ea. addnl' IOO ft. <br /> <br />$ IO,OO <br />$10.OO <br />$10.OO <br /> <br />$25.OO <br /> <br />$15.00 <br /> <br />hflitary &Storm. l.~u <br /> irgat 103 fL or friction ~h~raof <br /> For addfll' too IL <br /> <br />$30.OO <br /> <br />$15.00 <br /> <br />PROTeCtIVE BACr~Low DBVICE <br /> f~wn vacuum bruk~ (mprlnkl~r system) . <br /> All ol~em <br /> <br />S4J0 <br />SI0,OO <br /> <br />OTHRR (~ ~quire~l b. y O,.~PSC <br /> fnd ~ii&'~g <br /> <br />DWELLING PaR.MIT LA.~BL <br /> <br /># of <br /> <br />N/C <br />s <br /> <br />5. FI~S <br /> Al. Enter total of feea from Soc. ~4 <br /> A2. Add $~G tm~harge (.~ x Al) <br /> ~bt~al <br /> <br /> B. ~t~21~ ofl~o Al f~un Ro~ow <br /> (Al 4 ~5). if~qu~ <br /> C. inv~tlga~n FOC 0f~uked) <br /> <br /> TOT~ ~O~ D~ <br /> Receipt Ho.., , <br /> <br /> <br />