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"Received By:; <br /> <br />MARION COUNTY BUILDING INSPECTION <br />~enator Bldg. NO,, S2S <br />~20 High Street NE <br />~alem, Oregon 97301 <br /> <br /> Phone 988-5147 <br /> Code-A.Phone 4:30 RM,, - 8:00 A.M. <br /> <br />PLUMBING PERMIT APPLiCATiON <br /> <br />Ow ' Phone:: Mail, j,ng Add, r, ess ;; <br />.... <br /> .............. <br />Plumbing In~t~ller~ ~ Phone;; <br /> <br />RO~e Buil~'~ R~g~str~tio~ No,,;; <br />........... <br />Residential:: ~ ..... New:: Additiom ~ Occupancy Use ~ Building:: <br /> <br /> NO,, FEE AMOUNT <br /> Base Price $2000 <br /> Residential <br /> New construction (e.,a.?h fixture) $ 9,,00 <br /> Alterations (each flxtu~e) 900 <br /> Re-located R~sidence (each fixture) .................... 4,50 <br /> Commemial <br /> New Construction (eash"f'l'~(i~rei ' 900 ........ <br /> Alterations (each fixtur..e) ... 9..00 <br /> Water Lines <br /> For the first 100 feet or fractioq !hffreof ,/ 20,00 <br /> For additional 100 feet 15 00 <br /> Sewer Service Lines <br /> First 100 feet or fract!..o.n.!hereof ) 30 O0 .......... <br /> Additional 100 feet 1500 <br /> Mobile Home sewer~ater connection <br /> (maximum ..5. f~.et length) .......................... 25.00 <br /> Other (as per OSPSC and Building OffiCial,) <br /> On-Site Tech,n,ieal Review (apply at Marion County only ....................... <br /> Re-Jnspectlcn Fee 2500 <br /> FEE $'"" <br />STATE SURCHARGE <br />PLAN REVIEW FEE $ <br />INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEETSURCHARGE $ <br />with the indicated fee, C~TY FEE $ <br />TOTAL ~ <br /> <br />( ) I am pertormlng work on a property I own or occupy <br />( j"~-~L I am a mglstomd builder OR ( ) the authorized representative of <br /> <br />( ) The work will be performed by a registered builder, <br />( ) Other <br /> <br />( ) I agree to install according to the submitted plans and specifications, the laws of the state of Oregon and the ordinances of Marion County <br /> <br /> ,.,~/ <br /> <br />MC 15-45 <br /> <br /> <br />