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Rec~vec By: ~ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Sene~or Bldg. No, 225 <br /> 2;~0 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code-A.Phone 4:30 EM. - 8:00 A.M. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br /> Phons: M al,ling Add~[esa: ~ · <br /> <br /> Job Address; ~ ~re~ · ~ , ~ <br /> ¢/¢ ~~ SiteNo,: ..... LC~ ~ <br /> Plu~ng Inataller; ~as; ~ <br /> ~ / ~ Phone: <br /> Home ~uilder'¢ Regist ration NO.: <br /> ...... <br /> Alteration: ' O~upan~oha.ge:; I Use~f Buildin~:¢/~¢/~ ~ ~ <br /> Residential: ~ New: ~ ~ddition: ~ ~[' <br />~.o~memlal; ~ ~ Re[~ation: ~ , <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 Residsncs such fixturs) 4,50 <br /> Commercial <br /> New Constru. ct!on (each fixture) ...... 9,00 <br /> Alterations (each fixture) 9,00 <br /> Water Lines <br /> For the first 100 feet o[,f. ra~ti~n thereof .... / 20.00 e~,.~, O O <br /> For additional 100 feet 15,00 <br /> Sewer So,ice Lines <br /> First 100 feet or fraction thereof ......... / ' 30.00 ~ ~:~, ~ ~; <br /> Additional 100 feet 15.00 <br /> Mobile ~'l'~'e sewer/water connection ' <br /> (maximum 5 feet length) 25.00 <br /> Other (aa per OSPSC aad'Building Official) <br /> On-Site Technical Rev!,e.~v (apply at Madon Count' only) <br />Re-Inspection Fee 25,00 <br />FEE ~ <br />STATE SURCHARGE ,,~, ,,~) <br />PLAN P~VIEW FE,E $ <br />INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SUR~',,,~HARGE $ ~** ~:~ ~-~' <br />with the indicated fee. ClTYFEEToTAL ~ <br /> <br />12/87 <br /> <br /> <br />