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MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg, No,, 225 <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588'5147 <br /> Code-A.Phone 4=3o RM. ~ 8=00 A.M. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Plumbing Installer' Phone:: Address / , <br />Home Builder~ Registr~tion No,:: <br />Co~?~l;;Resid~tial:: ~ ...... ,,,Alteration:: ~ ......... <br /> New:: Addition: ~ Occupancy '""~s~of Building:: <br /> <br /> NO,, FEE AMOUNT <br /> Base Price $20,00 <br /> Residential <br /> .......... New con..struction (each'fixture .... "' . ...... -'"""$ '9.00 <br /> Alterations (each fixture) 9 00 <br /> "'Re-looat, e.d Residence ikaoh fixture! ............ -- ........... 4,50 .... <br /> Commercial <br /> <br /> __ New Construction'ieaoh fixture ......... 9.00 ......... <br /> <br /> Alterations (~,~ch fixture) ................ 9,:,,0~ <br /> Water Lines <br /> For the fi mt., 1.00 feet or f~'~tion thereR! .... / .... 20,,00 <br /> For additional 100 feet 1 SOO <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof ...... / 30,00 3~- 8'7.) <br /> Additional 100 feet 15,00 <br /> Mobile Home sewer/water connection <br /> (maximum 5 feet leng,!~! 25,00 <br /> Other (as per OSPSC and Building Official <br /> On-Site Technical Re¥i,~w (apply at Marion Cot~,p,!y only ..... <br /> Re-Inspect!on Fee 2500' <br /> FEE $ ~.~ <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ ~.~ <br />with the indicated fee. ~ 01~¢ FEE $ <br />TOTAL $, <br /> <br />('-~-D,~&am a registered builder OR ) the authorized repmsemative of <br /> a registered bullde£ <br /> The wod( will be performed by a registered builde[ <br /> Other <br /> <br /> $1GNATUREOFAPPLIOA T: //j/~t¢// , .. <br /> <br />) l agree to JnstallaccordJngtothe submitted plans and specifications the]awsofthestateof Orego~ a~ldtheordinancesof Marlo~Oounty <br /> <br />MC 15-45 <br />Rev 12/87 <br /> <br /> <br />