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, RegeiVl~dSy'.~_ ~ <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator B~eg, NO. 225 <br />2~0 High Street NE <br /> Selem, Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Coae-A-Phone4:',0 P.M.. - 8:00 A.M.. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />O~,,~_r ...... Phone:; M~iltng A~ddress:; ........... <br />Job Address:: Site No ;; Cross Street <br />¢¢0 / ....... .. <br />Plumbing Installer / Phone::Address <br />'de :s Registration No :: .................... ~ 7~?~ <br />Residentiah: ¢ New;: ~'' Addition;: B Occu'¢~ Use~f Building' , ' ..... <br /> <br /> NO,, FEE AMOUNT <br /> Sase Price ....... $;~0..00 <br /> Residential <br /> Newconstruction (e~c~t',,re ............... ' .... . .......... $ 900 .......... <br /> Alterations (each fixture! ............. 9..00 ........... <br /> Re-located Residence each fixture ..... 450 <br /> Commercial <br /> New Constrcct'i'en (each..!!?!ure) .......... <br /> ....... Altaratioe~..(each fixture) ......... ' ..... __ ........ 9.00 <br /> Water Lines <br /> ............ For thp.fi.rst 100 feet or fracti~l"thereof .............. 1__ 2000 <br /> For additional lOO feet 15.00 <br /> Sewer Service Lines ...... <br /> ......... First 100 fe.p.!.pr fraction th~;~of ............. ' ..... / 30 O0 ~-~'~, ~-~- <br /> Additional 100 feet 1500 <br /> Mobile Home sewer~vater connection <br /> (maximum 5 feet length) 2~00 <br /> Other (as per OSPS...C.and Building Official) <br /> On-Site Technical Review (apply at Mp.r!~n County only) .......... <br /> Re-Inspection Fee ............. 25 00 <br /> <br /> STATE SURCHARGE ,=~2. ~'~ <br />PLAN REVIEW FEE $ <br />INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE <br />with the indicated fee, C~TY FEE $ <br /> <br /> $ <br /> <br />) The work will be performed by a registered builder <br />) Other <br /> <br />MC 15-45 <br />Rev 12/87 <br /> <br /> <br />