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Re'ceiYed By;: ~¢ . <br /> <br />3¢¢l <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bids,, No, 225 <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4;30 P.M. - 8:00 A.M. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Ow.p~r;: <br /> <br />Job Address;; <br /> <br />Plumbing Installer <br /> <br />Phone:: <br /> <br />Site No :; <br /> <br />Phone. <br /> <br />Ma,~, Address:: <br />Cross Street;; <br /> <br />A~ress~ / <br /> <br /> Residentiak ~ New:: ~ Addition:: [] <br />I Commercial:: E) Alteration:; [] Relocation:: [] <br /> <br />Occupancy Uee,,of Building :: <br /> <br /> NO.. FEE AMOUNT <br /> Base Price $2000 <br /> Residential <br /> New construction (each flxturei ............. , .... (~ $ 900 ,,,~ 00 <br /> Alterations (each fixture) .................. ,_9 00 <br /> Re-located Residence (eaell fixture) -- 4,,50 <br /> Commemial <br /> New Construction (each fixture) ........ 9 00 ...... <br /> Alterations (each fixture) ......... 9 00 <br /> waier Lines <br /> For the first 100 feet or fra'~'~n th~e0f ................ 2000 <br /> For additional 100 feet 15.00 <br /> Sower Service Lines <br /> First 100 feet or fraction thereof 30.00 <br /> Additional 100 feet 15 00 <br /> Mobile Home sewer/water connection <br /> (maximum 5 feet length) 2500 <br /> Other (as per OSPSC and Building Official) <br /> On-Site Technica[ Review (apply at Marion County only) .............................. <br /> Re-Inspection Fee 25 00 <br /> FEE $ <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE <br />with the indicated fee. CITY FEE $ ~.. <br /> <br />( ) I am performlng work on a property I own or occupy ,. <br />am a registered builder OR ( ) the authorized representative of ~IGNATUR5 OF APPLI <br /> a registered builder, <br /> <br />( ) The work will be performed by a registered guilde~ <br />( ) Other <br /> <br />agree to install according to the submitted plans and specifications: the laws of the stafl~ of Oregon and the ocdinances of Marion County, <br /> <br />MC 15-45 <br />ReV. 12/87 <br /> <br /> <br />