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.' Rec~iv.e.d By:: ~, <br /> <br />MARION COUNTY BUILDING iNSPECTION <br />Senator Bldg. No,, 225 <br />220 High St ~t NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4:3S P.M. - 8;00 A.M, <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br /> ~ ............. Mailing'Address:: ........ <br /> Job Address:: , Rite No,:: Cress Street:: <br /> ................ <br /> P~umbing Installer , Phone:: A,~'dress , ' <br /> o e ullder~RegistrationNo: ....... <br /> <br />~'~esidentiel ~ .... New:: ~ ..... Addition:: [] OccupanCy U,<~{~ of Suildlng;; <br /> C_,,.o,~mercial [] ......... Alteration:: [] ...... Relocation'[] Change:: [] <br /> <br /> NO FEE AMOUNT <br /> Base P!ice $2000 <br /> Residential ............. ' ....... <br /> <br /> New coaatruction each fixture , "~ ......... ~ '9 O0 <br /> Alteration. s (each fixture 9,,00 <br /> Re-located Residence (each fixture 4,50 <br /> Commercial <br /> New ConstruCtiOn (each fixture g00 <br /> Alterations (eac~h fixture 9.00 <br /> Water Lines <br /> F~'~ ihe first 100 feet or frac~'ion thereof ....... 20,00 ......... <br /> Fo,r,~dditione1100 feet 1~ 00 <br /> Sewer Service Lines <br /> First ~00 feet or fraction thereof ..... ~0,,00 - <br /> <br />Additional 100 feet 15,00 <br />Mobile Home sewerA,vete'~ ~onne~ion ........ <br />(maximum 5 !?t length) 2500 <br />~Other (as per OSPSC an~,,,Building Official ............. <br />On-Site Technical Review apply,~t Marion County ~lly .... ' .....~,, ' ...... <br />Re-Inspection Fee 25 00 <br /> FEE <br />STATE SURCHARGE <br />REV, W <br />INVBRTIGATION F~E <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ ~'~' <br />with the indicated fee, CITY FEE ~ <br />TOTA' <br /> <br />j~m a registered builder OR ( ) t he authorized representative of <br /> ) The work will be performed by a registered builde[ <br /> } Other <br /> <br />SI~NATU RE OF APPLICANT"~T ~,~ ~ <br /> <br />MC 15-45 <br /> <br /> <br />