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PLBG - 1468644
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PLBG - 1468644
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Last modified
2/1/2013 1:56:45 PM
Creation date
8/9/2004 2:46:38 PM
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Permits
Permit Address
9663 MILL CREEK RD SE
Permit City
Aumsville
Permit Number
555-96-08831
Parcel Number
081W30C 01200
Permit Type
PLBG
Permit Doc Type
Permit Document
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PLUMBING PERMIT APPLICATION <br />Please complete all &~tion& I through 5 <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />COMMUNITY DEVELOPMENT CENTER <br />285 Church St NE. Room 132 <br /> <br /> · '".mu .COUNTy <br /> 14 b,r. Impec~/on Liae 375-44Z7 .BOllm~ <br /> Office: Phone 5~8-5147 8:00nm - 4:30pm I$SUl~f~ [~V~Det,..,.. _ <br /> <br /> I (Complm~nd entec totel in A1 below) <br /> 4. <br /> SCHEDULE <br /> / <br /> RESIDENTIAL <br /> us~ 0V~ST~UCTC~: <br /> NEW {~ ALTERATION <br /> <br />2A. CONTRACTOR ll~JTALLATION ONLY <br /> <br />2B. FOR OWNER INSTALLATIONS <br />Frope~ Ova~ O~loa~ prim) <br /> <br />Agollt's Si~natu~: <br /> <br />BAgEl FEE $~0.00 <br /> <br />RESH)ENTIAL (each ftxtttre) <br /> Aurora Dwelhng Plumbing F~ sq. ff. x $.070 = <br /> <br />Single Family or multi-fnmily per <br />dwelling unit <br />New *onstmction $10.00 -- <br />Alterations $10.00 <br />Reconnect $ 5.00 -- <br />Relocnted Structure $ 5.00 <br /> <br />Water Line~ <br />Fkat 100 ft. or fraction thereof I $20.00 __ <br />Fore*, addnl' 100 fi, (up to <br />n~manum of S00 fl.) $15.00 -- <br /> <br />Sanitar/& Storm lAn~ <br />F~t 100 fl. or ftacdon thereof { $30.00 ~ __ <br />For ad~ll' 100 ft. (up to <br /> <br />S~nit,v~ & Stcum Lines <br /> Fint 100 ft. or fraction thereof <br /> For ad&al' 100 fi. <br /> <br />PROTECTIVE BACKI~LOW DRVICH <br /> Lavm vacuum bre.~ker (sprinkler system) <br /> All othem <br /> <br />OTHER (as requireMbyOSP~7 <br /> and Building Of~eial) <br /> <br /> $10.00 <br /> $10.00 -- <br /> <br />I $2 .0o z,.q. <br />[ sao.oo 30. o'o <br /> <br />$10.00 <br /> <br />DWELLINO PERMIT LABEL # of Labels N/C <br /> <br />3. PLANREVIEW S~I2TION <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 />Rev. 1/96 <br /> <br />Al, Enter total of fees from S~. <br />A2. Add 5% s~h~ (.05 x Al) <br /> ~bt~al <br /> <br />B. ~ter 25% of I~e A1 br P~ ~view <br /> (Al + .2~, if~ <br />C. l~sfigat~n ~ (if ~) <br /> <br /> <br />
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