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· ReceivedByl City Of A~msville <br /> Date: 8/26/88 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator BlSg, NO, 225 <br /> 2g0 High Street NE <br /> Salem, O~gon 9/'301 <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4:30 RM. - 8:00 A,M~ <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Owner: Phone; Mailing Address: <br /> Tom Doran 769-7364 P.O.~Bo_x ]85, Sublimity 97385 <br /> Site No.: <br /> <br />Job Address; <br /> 900 N. 8th <br /> <br />Plumbing Installer; <br /> T.G. Nichol <br /> <br />749-2071 <br /> <br />Cross Street: <br />O:!ney <br /> <br />Add"ess: <br /> P.O. BOx 166, Aumaville <br /> <br />Home I~uilder'S Registration No.: <br />28638 <br />Residential: [] New; ~ Addition: [] Occupancy' UseofBuilding; <br />Commercial: [] Alteration; [] Relocation; [] Change: [] Residence <br /> <br /> NO, FEE AMOUNT <br /> Sase Price $20.00 <br /> Residential " " <br /> New construction (each fixture .... 0 $ 9,00 ~4 · 00" <br /> Alterations (each fixture) 9.00 <br /> Re-located Residence (each fIxtune ...... 4 50 <br /> Commercial <br /> New Construction each fixture) 9,00 <br /> Alterations (each fixture) , , g,00 <br /> Water Lines <br /> For the fimt 100 feet or fraction thereof 20.00 <br /> For additional 100 feet 15,00 <br /> Sewer Service Lines <br /> First 100 feet or fracfion fhen~of "' 30,00 <br /> Additional 100 feet 1 $,00 <br /> Mobile Home sewer/~v~ier connection " . <br /> (maximum 5 feet length) 25.00 <br /> Other (as per OSPSC and Building Official) _,, <br /> On-Site Tach nisal Revlew apply at Marion County only , '" <br />,rRe-lnspection Fee ., 25,00 <br /> FEE $ /q,. UU <br /> STATE SURCHARGE <br /> City fee ~zJgR~EWX~ $ 3.70 <br /> iNVEST GAT ON FEE <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ 3 o 84 <br />with the indicated fee. C~T~, FEE $ <br />TOTAL $ ,,~5.,24 <br /> <br />I am a registered builder OR ( ) the authorized representative of SIGNATURE OF APPLICA <br />registered butlde~ <br />The work will be peHormed by a registered builder, <br /> <br />Rev, t2/87 <br /> <br /> <br />