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Recaiwd B~ <br />Bate: ~/~ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> ~ Senator Bldg. No. ~.S <br /> ~ 220 High Street NE <br /> ealem, On~gon 97901 <br /> <br /> Phone 588-5147 <br /> Co<le-A. paone 4:30 RM - St00 A.M, <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Job~ddress: ,~ · ' Site No.: · Cress Stree~ <br />~bing Installer: ~ ' ' Phone: ' Ad~h~ss,', ,~ ," <br />Home Builder s Regia,,t~tion NO.; <br />Residential: ~ New: ~ Addition: [] Occupancy Use ~uildln~; <br />Commercial: ~ I Alteration: [] , Relocation: [] Change: [] I ~'~'~ <br /> <br /> ,. NO. FEE AMOUNT <br /> Base Price , , <br /> Residential ..... <br /> New construction (each. fixture) ' ~ $ 9,00 <br /> Alterations (each fixture) ...... 9.00 <br /> Re-located Residence (each fixture) 4.$0 <br /> Commercial <br /> New Construction (each f!x.,t.u re) 9.00 <br /> 9.00 <br /> Alterations (each fixture) · ...... <br /> WaterLines " <br /> For the first 100 feet or fraction thereof 20,00 <br /> For additional 100 feet 15,00 <br /> Sewer Service Lines <br /> First 100 feet Or fraction thereof 30.00 <br /> Additional 100 feet ' 15.00 <br /> Mobile Home sewer/water Connection <br /> (maximum 5 feet length) 25.00 <br /> Other (as p~r O~C and Building Official) .... <br /> On-S te Techn CB Review (apply at Marl.on County only) <br /> Re-lnspectieo Fee 25+00 <br /> .... FEE $ ' <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> ' INVES:[IGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET'~:URCHARGE $ <br />with the indicated fee. _ CiTY FEE <br /> <br /> ~ /~"/ <br /> <br />Other <br /> <br />12/87 <br /> <br /> <br />