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Received By; <br />0ate: <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator 81dg. No, 225 <br />220 High Street NE <br /> Salem, Oregon 973O1 <br /> <br /> Phone S88-$147 <br /> Cocle-A-Phone 4::30 EM, - 8:00 A.M. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br /> t ( ~-r.~ , .5"/? <br />Situs Address; o.: <br /> <br /> ~?1 L~ .......... <br /> <br />Cross SIreet; <br /> <br />Plumbing Installer; Phone; Address: <br /> <br />Residential; [~ ¢_,~ New; ~ Addition; [] Occupancy Use of Building; <br /> <br />Commercial: [] I~1~1 Alteration; [] Relocation; [] <br /> Change: <br /> [] <br /> <br /> NO. FEE AMOUNT <br /> Base Price $10.00 <br /> Residential <br /> New construction (each fixture) $ 7,50 <br /> Alterations (each fixture) 7.50 <br /> .Re-le.~cat.~ed Reei.,___rdence (each fixture) , , , ~,:75 <br /> Commercial <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 /> First 100 feet or fraction thereof 30,00 <br /> Additional 100 feet 1500 <br /> Lawn Sprinkling System <br /> To and including each protective device 5,00 <br /> ._Ot~er (as per OSPSC and Building Official) ......... <br /> On-Site Technical Review (app!~. ~t.~.ri?n.C?n.~.?ly~).~_. <br /> Re-inspection Fee <br />FEE $ <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />DOUBLE FEE $ <br />Please return COMPLETE APPLICATION FLEETSURCHARGE $ <br />with the indicated fee. CITY FEE $ <br /> TOTAL $ <br /> <br />) T5e work will be podormod by a registered builder, <br />) Other. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />MO 15-45 <br />Rev 3/87 <br /> <br /> <br />