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. ~eceive. d~By: ~. <br /> ate::. Z./../,,? <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> ~enetor Bidg,, No. 225 <br /> 220 High Street NE <br /> ,v., Z~ Salem, Oregon 97301 <br /> Phone S8S-5147 <br /> Code-A. Phone 4:30 R,M,, - 8:00 A.M. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Owner M~,iling <br /> 'hone:: ............. <br />Job Address' ~ ~ - Bite No :: Cross Street:: , <br />Plumbing Installer, Ad~ss::~ <br />Home Builder~ Registration No..;; <br /> <br />Residential:: ~ New:: ~" Additio'~?" ~' Occupancy '""Ose~f Bui ding:: <br />Commercial. ~ Alteration ~ Relocation:: ~ C~enge:: .... <br /> <br /> NO FEE AMOUNT <br /> Base Price $20 O0 <br /> Residential <br /> New construction (each fixture) ................ ~ ,, $' ~i'~0 <br /> Alterations (each fixture) 900 <br /> Re-located Residence (each fixture) ....... ~,,,50 <br /> Commercial <br /> New Construc'[ion (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 1500 <br /> Sewer BervIce Lines <br /> First 100 feet or frac{ion thereof <br /> Additional 100 feet 15,00 <br /> Mobile Home sewer/water connection <br /> (maximum 5 feet length) ........... ~'500 <br /> Other (as per OSPBC end Building Official) .................. <br /> On-Bite Technical Review (apply at Marion,Co.u. nty only) ........ <br /> <br />.... ~e-lnspection Fee ...... 2500 <br /> BTATE SURCHARGE <br /> PLAN REVIEW FEE <br /> INVEBTIGATION FEE <br />Please return COMPLETE APPLICATION FLEET BURCHARGE $,~__~/-~ <br />with the indicated fee. CITY FEE $ <br /> <br />a registered builder <br /> <br />Other <br /> <br />MC 15-45 <br />I~ev 12/87 <br /> <br /> <br />