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R~ace~ve~;: <br />Date~ , ~'/ <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. NO,, 225 <br /> 220 High St~t NE <br /> Salem~ Oregon 97301 <br /> <br /> Phone ~;88-5147 <br /> Code-A.Phone 4:30 RM. - 8:00 A.M, <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br /> Ow~.e/r _ / Phone:: MailingAddmss;; <br /> ' Site No..;; Cross Street;. · <br /> <br /> PlU m bing'"'i'n st al[er :: Phon~;: Add~eg~;; <br /> Ho~ Builder, Re~tion NC.;. ¢5¢2E <br /> <br />....~mmemial;: ~ .............. Alteration;; Q . . Relocation:: ~ Change;; ~ ~1~/~~D <br /> <br /> NO FEE AMOUNT <br /> Sase Price $20.00 <br /> Residential <br /> New construction (each fixture,),,, ~ $ 9.00 <br /> Alterations (each (ixture} 9,00 <br /> Re-located Residence (each fixture) 450 <br /> Commemlal <br /> New Con~!ruction (each fixture ..................... 900 <br /> Alterations (each fixture) 9.00 <br /> water Lines <br /> For the first 100 feet or ~ction thereof ..................... <br /> For additional 100 feet 15.00 <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof 3o..oo <br /> Additional 100 feet 1500 <br /> Mobile Home sewer~vater connection <br /> (maximum 5. feet length .......... ~ 25.00 <br /> Other (as per ~SPSC and Building Official ..... <br /> On-Site Technical Review (apply at...M~r.[on County only ...................... <br /> Re-Inspection Fee ..... 25,00 <br /> ..... s <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 ~ registered builder OR ( ) the e. uthorized representative of <br />a registered builder. <br />Other, The work wtlJ be performed by a registered builder <br /> <br />MC 15-45 <br />Rev 1~./87 <br /> <br /> <br />