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MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg, NO, 225 <br /> 220 High Strict NE <br /> Salem, Oregon 97301 <br /> <br /> Paene 588-5147 <br /> Code-A-Phone 4:30 P.M. - 8:00 <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />ner,~ ..... Phone:: MaillngAddrass:: * '""i .... <br />Job Address::, Site No,,;; Cr~s Street:: <br /> .............. <br />Plumbing Installer:: Phone:: Addrass <br />Home Builder3 Registration No,,:: ~ <br /> <br /> Resldentiak ~ New, ~ Addition:: ~ Occupancy '" Ose of Building', <br /> Co~merelal:: ~ Alteration:: ~ Relo tion:: I <br /> <br /> NO FEE AMOUNT <br /> Base Price $20,,00 <br /> Residential <br /> New Construction (each fixture) ~ $ 9,00 .~"/,./. ~ 0 <br /> Alterations (each fixture) 900 <br /> Re-located Residence (each fixture) 4,50 <br /> Commercial <br /> New Construction (each fixture) 9.00 <br /> Alterations (each fixture) 900 <br /> Water Lines <br /> For the first 100 feet or fraction thereof 20,00 <br /> For additional 100 feet 1,5,00 <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof 30,,00 <br /> Additional 100 feet 1500 <br /> Mobile Home sewer~vater connection <br /> (maximum 5 feet length) 25.00 <br /> Other (as per OSPSC and Building Official) <br /> On-Site Technical Review (apply at Marion County only) <br /> Re-inspection Fee 25.00 <br /> FEE $ <br /> STATE SURCHARGE -,."~ 7~ <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEETSURCHARGE $ ~.~, <br />with the indicated fee. CITY FEE $ <br />TO A .. 4, <br /> <br /> I am performing work on a property I own or occupy <br />(~-~, I am a registered builder OR ( ) the authorized representative of <br /> a registered builder <br /> The work will be performed by ~ registered builder, <br /> Other <br /> <br /> SIGNATURE OF <br /> <br />) I agree to install according to the submittea plans and specifications, the laws of the state of Oregon and the ordinances ~,Marlon County <br /> <br />MC 15-45 <br />Rev 12/87 <br /> <br /> <br />