Laserfiche WebLink
ReceivedBy I1 ~l ~.~ SanstorBIdg,,No,,22S <br /> 220 High Street NE <br /> <br /> PLUMBING PERMIT APPLICATION <br /> <br />0~ "' '~)~) ~.4~ ~ '"Phone:: M~l'ing Address:: <br />Job.~"ddress "' Site No.;; Cross Street:: <br />,, B <br />Plumbing Installer/ ~ Phone:: Add~e~- <br />Ho~e B~ilder~ Registration'~'o <br /> <br /> Residential:: ~ New:; ~ Addition:: ~ OccupaDcy Use of ~uilding:: <br /> Commercial:: ~ AIt~ratlom ~ Relocation ~ C,ang,' <br /> <br /> NO FEE AMOUNT <br /> Rase Price $2000 <br /> Residential ..... <br /> Newconstructlon each fixture ' , $ 900 ........ <br /> <br /> - Alterations (each fixture 900 <br /> Re-located Residence (each fixture 4 50 <br /> Commercial <br /> New Consi~uction each fixture ............. g00 <br /> Alterations (~.ach fixture) 9.00 <br /> Water Lines <br /> -- For the first 100 feat ~'~ fraction thereof .......... / 20;,~?, <br /> For additional 100 feet 1500 <br /> 8ewer Service Lines <br /> First 100 feet or fraction thereof ) 30,00 ,~ <br /> Additional 100 feet ' ' ~'~' O0 <br /> Mobile Home sewer/~Nater connection <br /> (max,!mum 5 feet length ..... 2500 <br /> Other (as per OSPS,C and Building Official ........ <br /> On-Site Technical Review apply ~! Marion Ce'uniy only) ............ <br /> Re-Inspection Fee~ .... 25,,00 <br /> <br /> STATE SURCHARGE , <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE <br />Please return COMPLETE APPLICATION FLEETSURCRARGE $ ~,-,~, cO/-~' <br />with the indicated fee,, C~T'f FEE $ <br />TOTAL <br /> <br />The work will be pedormed by a registered builder <br />Other ........... <br />I agree to install according to the ~ubmitted plans and specificatisna, the laws of the state of Oregon end the ordinances of Mario~ County <br /> <br />MC 15-45 <br />Rev 12187 <br /> <br /> <br />