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/¢ /3 MARION COU"~TY BUILDING INSPECTION <br />Received By;: ~'-'~"~'~'~'~'¢¢~'¢!-~¢¢-~,l~¢/~ ~ [4 ~1~'" ~ ~qatorBIdg. No. 225 <br />~ ~ 0 High Street NE <br /> <br /> · ~ ~ ~-~-Phone ~18-5147 <br /> <br /> Iv~A~ION COUNI'¥ <br />BUILDtNG 11~2 PERMIT APPLICATION <br /> <br />Phone;: <br /> <br />Job Address:: Site No,:: <br />~lumgin§ Installer' ~hone, <br />~'~egistratlon NO, <br /> <br />Res~'ential:: ~ ] New ~ Addition:: ~ Occupan~ Use~fBuilding:: <br />Commercial:: ~ Alteration;: ~ Relocation:: ~ Change' ~ <br /> <br />.a' lng Address;: <br />Cross Street:: <br /> <br />Add"ess / <br /> <br /> NO FEE AMOUNT <br /> Ba~e Price 82000 <br /> Residential <br /> ............ New construction"ieaCh fixture) ............. $ 900 <br /> Alterations (each fixture .................. 900 <br /> Re-locatad Residence (~,~h, fb(ture) 4,,50 <br /> Oommercial <br /> New Construction (each fixture 9.00 <br /> Alterations (each fixture) g,,00 <br /> <br /> .......... For the first 100 feet or fraction thereof ................. ~ 2000 c~.,~. <br /> For additioea1100 feet 15,00 <br /> Sewer Service Lines <br /> First 100 feet or fraction them,~f / 30,00 ................... <br /> Additional 100 feet 1800 <br /> Mobile Home sewerA~vater connection <br /> (maximum 5 feet??gth) .......................... 2800 <br /> Other (~,p~r, OSPSC and Building Official <br /> On-Site Techeical Review (~,pply at Marion County'~nly) ...... ' ........... <br /> Re-Inspection Fee ................. 25.00 <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE ' <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ <br />with the indicated fee. CITYFEEToTAL ~ <br /> <br />a registered builder <br />The work will be performed by a registered bullde[, <br />Other <br />I a§ree to Install accordin9 to the subtnitted plans end specifications= the laws of the state ct Oregon and the ordinances of Marion County <br /> <br />MC 15-45 <br />Rev ~/87 <br /> <br /> <br />