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MA,RION.C.,OUNTY BUILDING INSPECTION <br /> . ~:~ <br /> <br />Date: <br /> ~ ,. '"" ' :' ~;~ ~.' Phone S88~147 <br /> ~ ~ ~ ' '- Cod~A-Phone 4:30 EM, - 8:00 A.M, <br /> <br /> ~~'L~'':J::'~ ["~?'~BING PERMIT APPLICATION <br /> <br />Owner;~r-'~' -,--,, Phone: <br /> Site No.; Cross Street: <br />Bitus~S:pl~elblng In~3taller; ~'~ I1~"*~*~1~ ~ ~Ph ne; ~7'<~-''7~/ Add~re~s;-/~~'~ J"~"J~ .............. <br />Home Build~r~ Registration NO.: <br />/ .......... <br />Residential: New: ~ Addition: [] Occupancy Usher Building; . ' <br />Commemial: [] Alteration; [] Relocation; [] Change; [] <br /> <br /> r <br /> I NO. FEE AMOUNT <br /> Base Price $10.00 <br /> Residential <br /> New construction (each fixture) $ 7.50 <br /> A!ter~ti~n? (each fixture) ........ 7,50 <br /> Re4ocated Residence (each fixture) 3.75 <br /> Commercial '"i,, <br /> 7.50 <br /> New Construction (each fixture} <br /> Alterations (each fixtun~) 7.50 <br /> Water Lines <br /> For the first 100 feet or fraction thereof / 20.00 <br /> For additional 100 feet , 15.00 <br /> <br /> First 100 feet or fraction thereof .......................... / 30,00__ <br /> Additional 100 feet t:5,00 <br /> Lawn Sprinkling Syatem <br /> TO and including each protectivedevlce : ;': :,i5;001:i, ;i:;; ~, :, <br /> On-Site Technical Review (apply at Marion County only) <br /> Re-Inspection Fee <br /> FEE $ <br /> STATE SURCHARGE ~ <br /> PLAN REVIEW FEE $ <br /> DOUBLE FEE $ <br /> COMPLETE APPLICATION FLEET SURCHARGE $ <br />P~ease <br /> return <br />with the indicated fee, CITY FEE $ o~, ~"'~ <br />TOTAL_ ~ <br /> <br />I am a registered builder OR ( ) the authorized represemative of <br />a registered builder. : <br />The work will be performed b~ ~ registered bui~de~ : <br />Other ~' : <br />I agree to [na'~ll according to t he submitted plans and specifications, the laws of the state of Ore(ion an~ the ordinances of Marlo~ County. :: <br /> <br />MC 15-45 <br />Rev, 3~87 <br /> <br /> <br />