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Received By;_ <br />Date: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> S~nator Bldg, NO. 225 <br /> 220 High Stra~t NE <br /> Salem, Oregon 97301 <br /> <br /> Phone $P~$147 <br /> Code-A-Phone 4:3e RM. - 8:00 A.M. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Owner: Phone: Address: <br />tus Address: Site No.; Cross Street: <br /> <br />Plum6ing Installer: ' Phone: Address: <br />Home Builder~ Regi~tratlon No,: <br /> <br />Residential: ~ . New: ~ Addition: ~ O~upan~ UseofBuilding: <br />Commercial: ~ Alteration: ~ Relocatlon:.~ Change: ~ , <br /> <br /> NO, FEE AMOUNT <br /> Base Price $1o.o0 <br /> Residential <br /> New construction (each fixtu~) $ 7,§0,, <br /> Alterations (each fixture) .... ~ 7,50 <br /> Re-located Residence (each fixture) ,,3.,75 <br /> Commemial <br /> New Construction (each fixture) , 7,50 <br /> Alterations (each fixture) , 7.50 .. <br /> Water Lines ....... <br /> For the first 100 feet or fraction thereof 20,00 <br /> For additional 100 feet 15, 00 <br /> Sewer Service Lines <br /> F rat 100 feet or fract,~n thereof 30.00" <br /> Additional 100 feet 15,00 <br /> Lawn Sprinkling $ystem ...... <br /> To and including each protemlve devic~ 5.00 .,. <br /> Other (as per OSPSC end Building Official) <br /> On-81te Technical Review (apply? Marion County Chili' <br /> Re, lnspe~tion Fee <br /> '" FEE $ 3 2 5-0 <br /> ~&~L~ STATE SURCHARGE ! <br /> PLAN REVIEW FEE $ <br />DOUBLE FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ <br />with the indicated fee, CITY FEE <br />TOTAL $ <br /> <br />[ am performing work on s property own or occupy <br />I am a registered builder OR (j~) the authorized reoresent~i'~e ¢ 81GNATU RS OF APPLICANT: , <br />a registered builder. <br />The work will be podormed by a registered builder, <br />Other <br />] agree to install according to the submitted ~lans and sl)eoifioations, the laws of the state of Oregon and the ordinances 9f Marion County. <br /> <br />MC 15-45 <br />Re~ 3/87 <br /> <br /> <br />