Laserfiche WebLink
MARION COUNTY BUILDING INSPECTION <br /> <br /> ~' ' ' ' 220 High Street NE <br />' ~ Salem, Oregon 97301 <br /> <br /> Code-A.Phone 4:30 RM. - S;00 A,M. <br /> <br />:,':-:iPEUMBING PERMIT APPLICATION <br /> <br />Job Address: , S~e No,: C~ss Street; ~ <br />.,, <br />Plumbing Ins~ller: ~ Ad, mss: J '" <br />Home Build~r~ R~istration No,: ..... <br /> <br />Residential: ~ New: ' ~' Addition: ~ ........ Oooupancy U~e~f Building: <br />Commemiah ~ . Alteration: ~ Relocation: ~ Change: ~ ~ ~,~ <br /> <br /> NO, FEE AMOUNT <br /> Rase Pdce $20.00 <br /> Residential <br /> New, construction each fixture) . . $ 9.00 <br /> Alterations (each fixture) · , 9,00 ., ,.., . <br /> Re-located F!esidenee (each fixture . 4,50 <br /> Commemial <br /> New Construction each fixture) , 9.0.0 <br /> Alterations (each fixture) 9.00 <br /> Water Lines <br /> Fo'r'the first 100 feet or fra~ion thereof' ' , ~ 20.00 <br /> For additional 100 feet 15.00 <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof " , .... j 30.00 ~,.~ <br /> Additional 100 feet ' .. 15.00 <br /> · Mobile Home'~awer/~vater connection " <br /> (maxlmum,,5 feet length .... 25,00 <br /> Other (as per OSPSC and Building official <br /> On-Site TechEical Rev!aw (apply at Marion County only <br /> Re-Inspection Fee , , 25,00 <br /> STATE SURCHARGE ..~.,,,~-~ , <br /> PLAN REVIEW FEE $ . <br />INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHAR~, E $ <br />with the indicated fee. CiTY FEE $~ ~,~, <br /> <br /> I am performing work on a pl~pe~ I own or occupy, Tp~ ~r~ <br />~ ~ am a registered builder OR ~ ) me aumonzea mom=entafive of SIGNATURE OF AP <br /> <br />MC t$-4s <br />Re~ 12/87 <br /> <br /> <br />