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Received By;; <br /> <br />Date;: __~¢;~-,~ ~ ' <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> SenatOr Bldg. NO, 225 <br /> 220 High Street NS <br /> <br /> Code-A.Phone 4:$0 ~,M. - 8:00 A.M. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Job Address:: <br /> <br />PIvrpbin¢l installer ~ , <br />Home Bullder~ Registration No' / <br />Residential:: ~ <br /> <br />Site No.:: <br /> <br />Phone <br /> <br />New:; ~"" Addition:: [] <br />Alteration [] Relocation;; [] <br /> <br />. 'ling Address:: <br />Cross Street <br /> <br />Occupancy Use of Building: <br />Change:: [~ ~,~_._ ~.~(~ <br /> <br /> NO, FEE AMOUNT <br />Base Price $20,,00 <br />Residential <br />New construction (each fixture) ........... '"' ~.~ ....... $ '~'ii'~)0 <br />Alterations (each fixture) 900 <br />Re-located Residence (each fixture) ................ 450 .... <br />Commercial <br />New Construction (each fixture) 900 <br />Alterations (each fixture) 900 <br />Water Lines <br />For the first 100 feet or fraction thereof 20.00 <br />For additional 100 feet 1500 <br />""~ewer Service Lines ........... <br />First 100 feet or fraction thereof 30,,00 <br />Additional 100 feet 15 0o <br />Mobile Home sewer~vater connection <br />(maximum 5 feet length) 2500 <br />Other (as per OSPSC and Building Official) .............. <br />OmSite Technical Review (apply at Marion County only) <br />Re-Inspection Fee 2500 <br />STATE SURCHARGE <br />PLAN REVIEW FEE $ <br />INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEETBURCHARGE $ <br />with the indicated fee,, CITY FEE $ <br /> <br />,~J.arn a registered builder OR ( ) tho authorized representative of <br /> <br /> Tho work wtll bo performod by a registorod butldor <br /> Other. <br /> <br />) l agmetoinstalla¢cordingtothesubmitted plans andspeclficatlons, thelawsofthestateofOmgonandtheordinan~esotMarionCounty <br /> <br />MC 15-45 <br />Re~ 12/87 <br /> <br /> <br />