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' ,,~ /) MARI~N COUNTY BUILDING iNSPECTION <br />~N .~ ~S~UU lNG PERMIT APPLICA~ON <br /> <br />Pl~T~,bing,lnntaller: ..__.. *' . .. Phone: Ad(;~'ess: ~/' i <br />Home Builder~ Registration No,: <br /> <br />Residential: ~ New: ~ ~dition: ~ Occupan~ UsAof Building: <br />Commem]al: ~ Alteration: ~ Relocation: ~ Change: ~ .~~/~ <br /> <br /> NO, FEE AMOUNT <br /> Bane Price $20,00 <br /> Residential <br /> New coantructlon (each fixture) ~ $ 9.00 ~-~ <br /> Alterations (each fixture) 9,00 <br /> Re-located Residence (each fixture) 4.50 <br /> COmmemial <br /> ' New ConstruCtiOn (each fixture) .... ' 9.00 ........ <br /> Alterations (each fixture) 9,00 <br /> Water Lines <br /> For the first 100 feet or fraction thereof 20.00 <br /> For additional 100 feet I ......... 1 ~.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) 25,0o <br /> Other (an per OSPSC and Building Official) <br /> On-Site Technical Review (apply at Marion County only) <br /> Re-Inspection Fee 25,00 <br /> FEE $ ~)0 <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ <br />with the indicated fee. C~TY FEE $ <br />TOTAL _~ <br /> <br /> I am a registered builder OR, ~ the authorized repmserAstlve of <br />~'~a registered builder. <br /> The work w~ll be performed by a registered builder, <br /> Other <br /> <br /> SIGNATURE OF A~~ <br />agree ~ in~tall ~ordin~ to the Sut~m~ttee plans and soe~ificstions, the laws of the state of Oregon ann the ornlnanees of Madon Count~, <br /> <br />12/87 <br /> <br /> <br />