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MARION COUNTY BUILDING INSPECTION <br />Senntor Bldg. No, 225 <br />220 High Street NE <br />salem. Oregon 97301 <br /> <br /> Phone g88.6147 <br /> Code-A. Phone 4:38 RM. - st0g A.M. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Plu bing Insta~r:_ " Phone' . ' Ad,ess: <br /> <br />Home Bui~er~ Registration No.; <br /> <br />Residential: ~ New: ~ Addition: ~ O~upency <br />Commemial', U Ate[dion: ~ Roloo~?~p: ~ Change: <br /> <br /> , , NO. FEE AMOUNT <br /> Base Price $20.00 <br /> F~e$1dentlal ' <br /> New construction (each fixture) ' " $ 9.00 <br /> 9.00 <br /> Alterations (each fixture) , · ,, <br /> Re-located Residence (each fixture) . .,. 4.50 <br /> Commercial , <br /> New Construct on (each fixture) . ' . .. . g.00 <br /> Alterations each fixture) ' 9,00 <br /> <br /> Water Lines , <br /> Forthefrctl~0feetorfrac~ionthereof ' ~' ' 20,00 <br /> <br /> For add t gna 100 feet 15.00 <br /> Sewer Service Lines <br /> Fit'st 100feetorfractionthereof ,, . , , / ' , 30.00 ~.~.~, <br /> <br /> Additional 100 feet ' . " 15.00 <br /> Mobile Home sewerhvater connection' ' ,,, <br /> (maximum 5 feet length) 25,00' <br /> Other as per OSPSC and Building Offlci~,l) <br /> On-Bite Technicel Review apply at MariOn County only) ,, <br /> Re-Inspection Fee .... 25.00 <br /> STATE SURCHARGE ~,~.%"'-~ <br /> · PLAN REVIEW FEE <br />· ' INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ <br />with the indicated fee; c ~ FEE <br /> <br /> TO3;. //~/, <br /> <br /> a registered builder OR .. $1O NATURE OF AP <br />~ r~ r~l$tered ' me ~u~nor~ze~ re~resen~ti~ of .~ ~ ..~ <br /> The work will be pedormed by a registered bu[Ide[ <br /> ~het -~ <br /> <br />MO 16-45 <br />Re~x 12/87 <br /> <br /> <br />