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MARION COUNTY BUILDING iNSPECTION <br /> Senator Bldg, No. 225 <br /> 220 High Stre~ NE <br /> Salem~ Oregon 97301 <br /> <br /> Phone ;88-g147 <br /> <br /> Code-A~Phone 4::30 EM, - 8:00 A,M. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Owner//~ Phone:: Mai 'n Ad ress:: <br />Job Address;; / Croas Street <br />Pluming Installer ~ . Phone: Add~s:: ~ <br />o e ul de :s Registration No.;; <br /> <br />Commercial:: ~ Alteratiom = Relocation:: = Cha~ge:: ~ ~/~ ~ ~ <br /> <br /> NO, FEE AMOUNT <br /> Base Price $20,,00 <br /> Residential <br /> New constructlon each fixture ~ $ 9 O0 ~ ,~'~ <br /> Alterations (each fixture) 900 <br /> ... R.e~located Ras[dence (each fixture) 4.50 __ <br /> Commemial <br /> .......... New Conatru~ion (each fixture) 9..00 <br /> Alt e ratio, n.~,,!.e, ash fixture) 900 <br /> Water Lines <br /> For the first 100 feet or fraction thereof 2000 <br /> For additional 100 feet 15.00 <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof 30 00 <br /> Additional 100 feet 1500 <br /> Mobile Home sewerA~,ater connection <br /> (maximum 5 feet length) 2500 <br /> Other (as per.0S.p~C.a~d S~ilding Official) <br /> On-Sire Technical Review (apply at Marion County only) <br /> <br />..... R~;.!.ns~ection Fee ...2..5...00... <br /> FEE $ ~'. ~ <br /> STATE SURCHARGE ,~.,//g'~ <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ ~ ~'~'~7~ <br />withtheindicatedfee, CITYFEEToTAL ~ <br /> <br />I am a registered builder OR ( ) the authorized representative of SIGNATURE OF APPLICAN1~ <br />Other__ ~-~ ~' <br /> <br />MC 15-45 <br />Rev 1;~/87 <br /> <br /> <br />