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Da~e: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> ,,~, ~ ~eh~[or BIdg· No. 225 <br /> 22~ High Street NE <br /> Salem, O~egon <br /> <br /> Phone 588-5147 <br /> Code-A.Phone 4:30 P.M. - 8:00 A.M, <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />"(~wner: Phone: Mailing Address: <br />",~ob Address: Site No,: .... C~oss Street: <br /> <br />Plu.'.'.~bing Installer~ ~ Phone: Address: <br />· 'dome Sullder!s Registration No.; ....... <br /> <br /> New: [] Addition: [] Occupancy Use of Building; <br /> Residential: [] ,,. Alteration; [] Relocation: [] <br /> Commercial: [] <br /> Change: [] <br /> <br /> NO. FEE AMOUNT <br /> Base Price $20.00 <br /> Residential <br /> New construction (each fixture) ..... / / $ 9,00 <br /> Alterations (each fixture) 9,00 <br /> Re-located Residence (each fixture) 4.50 <br /> Commercial <br /> New Construction (e~h' fixture) 9.00 <br /> AJ erat OhS (each f xture) 9,00 <br /> water Lines <br /> <br /> ........ For the first 100 feet or fraction thereof . , / 20.00 <br /> For additional 100 feet 15.00 <br /> Sewer Service Lines <br /> Fimt 100 feet or fraction thereof 30.00 <br /> Additional 100 feet 15,00 <br /> Mobile Home sewer/water connecQon <br /> (maximum 5 feet length) ..... ~5.00 <br /> Other (as .p ,e,r OSPSC and Building ~)fficlal ..... <br /> .,?!n-Site Technical Review (apply at Marion Coun~ .only)I <br /> Re-Inspection Fee. ,,I 25.00 <br /> <br />STATESURCHARGE <br />PLAN REVIEW FEE $ · <br />INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE <br />with the indicated fee. C~T~' FEE $ <br /> <br />I am a registered builder OR. ' the authorized ~epmsentative ct SIGNATURE OF APPBCANT: <br />a ~eglSteted builder. <br />The wOrk wil oe oerformed ~oy a reglSteCed builder, <br />Other_ ~. <br /> <br />MC 15-45 <br />Rev, 12/87 <br /> <br /> <br />