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/) . ~ MARION COUN-~TY BUILDING INSPECTION
<br />Received By' ~~. ' Senator Bidg,, No,, 225
<br /> _ _ ~ ff,~¢,,~ ~,~ ~ ~ .,,,, '~ · .,1 z~,~. 220HlghBtreetNE
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<br />~, ,!~,'?~=I~N ~,~"~I~I~ING PERMIT APPLICATION
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<br /> Plumbing installer:; / Phone;:
<br /> Home Builder~ Regi~atio~;
<br />~R ~¢~e'ntial ~ ....... '"',','"',','"' '~eW':: ~ Addition:; ~ Occupancy ~eofBuildi~g;: '
<br /> Commercial, C Alter~tio.;; U Reloc~ti0.:: ~ Change;: ~
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<br /> NO,, FEE AMOUNT
<br /> Sase Price $20,00
<br /> Residential
<br /> Ne~_WConstruction eachfixture) ......... $ 900
<br /> Alterations (each fixtu~r~! ..... 9 00
<br /> Re-located Reaidence (each fixture .......................................... 450
<br /> Commercial
<br /> New Construction (each !?~? [~) 9,00
<br /> AIterationd (e~,~,h fixture) 900
<br /> ..... Water Lined .............
<br /> ............ For the first 1'00 i~et or fraction thereof ............. /* .......................... ~0100 ' q=~'. 4~ ~,,
<br /> For additional 100 feet 15,00
<br /> Sewer Service Lined
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<br /> ......... Firdt 100 feet or f~iion thereof ............. / ................ g0,,00 ~.,.~,,,,
<br /> Additional 100 feet 1500
<br /> Mobile Home dewer~vater connection
<br /> (maximum 5 feet length) 2500
<br /> Other (ad per OSPSC and Build,in,g Official) ......... , ........ ' ......
<br /> On-Site Technic.,a.,I. Fleview (apply at Marion County only)
<br /> Re-Inspection Fee 25,,00
<br /> FEE
<br />STATE SURCHARGE ~
<br />PLAN REVIEW FEE $
<br />INVESTIGATION FEE $
<br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ .~. '~
<br />with the indicated fee. CITY FEE ~
<br />TOTAL
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<br />I am performing work on e propo~1 own or occupy, ~~~
<br />[ am a registered builder OR ,~, ~ authorized representative of 81GNATU RE OF APPLICANT
<br />a registered builde[
<br />The work will be performed by a regiatered builder
<br />Othot,
<br />J agree to install according to the s~bmlttad plans and specifications the Paws of the state of Oregon and the ordinances of Marion County
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<br />MC 15-45
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