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R~ceived By: L.% L~ V./ [.~ I ! ;, ~natorBIdg, Ne. 2ss <br /> <br /> MARION COUNTY <br /> BU:LDING INSPECTION <br /> PLUMBING PERMIT APPLICATION <br /> <br />Site No.; <br /> <br />Address; <br /> <br />Residential: <br /> <br />New: [] Addition: [] Occupancy Use of Building: <br />Alteration: [] Re.~cat~on; [] Change: [] <br /> <br /> AMOUNT <br />I~e Price $10,00 <br />Residential <br />New construction (each Axture) <br /> <br />Alterations, (each fixture) <br /> <br />Re-located Res(oence eachfixture) <br /> <br />Oommemial <br /> <br />New Oonstructiol· (each fixture) <br /> <br />Alterations Ieach flxture~ <br /> <br />Water Lines <br /> For the first 100 feet Or fraction thereof <br /> For additional 100 feet <br /> <br />Sewer Service Lines <br /> <br /> First 100 feet or fraction thereof <br /> Additional 100 feet <br />' Lawn Sprinkling System <br /> To and including each protective device <br />Other (as per OSPSC and Building Official) <br />On-Site Technical Review [apply at Marion County only) <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee, <br /> <br />I am performing worl( on a propsay I own or ocgupy. <br />lam a registered builder OR, , the authorized mcmeentat~ve et <br />a mglstereci builder, <br /> <br />Other <br /> <br />NO, FEE <br /> <br /> ~ 7.~o <br /> 7.50 <br /> 3.75 <br /> <br /> 7.50 <br /> 7.50 <br /> <br /> 20.00 <br /> 15,00 <br /> <br /> 30,00 <br /> 15.00 <br /> <br /> 5.00 <br /> <br /> STATE SURCHARGE ~ <br /> P A.R VlSW EE 5 <br /> DOUBLE FEE $ <br /> FLEETSURCHARGE $ ~ ~' <br /> <br /> TOTAL $ /'~. ~ ~ <br />SteNATURE OFAPPLICANT,~ _~~ <br /> <br />( ,~ ) I ogres to install ac~ordin~ to the submitted Clans and specifications, Tne laws of the state of Oregon and the ordinances of Marion County, <br /> <br />MD 15~45 <br />Rev. 3/~7 <br /> <br /> <br />