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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-~'147 <br /> Co,e-A-Phone ~.:30 ~.M. - 6:00 A.M.. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />O,~r: ,r ' ' ' Phonel 'Mailing Address, ...... · <br />h. ...... x/: zc <br />Job Kddres~;; ...... C~s~St~et' " <br />blngrnstaller' '~hone:: "' Address;: <br />Home ~ui~'r~ <br /> <br />Residenfi=l: ~ .... New:: ~'~ Addition:: ~ Occupancy Us~of Building' <br /> <br />Base Price <br /> <br />Residential <br /> <br />New construction (each fixture) <br /> <br />Alterations (each fixture) <br /> <br />Re-located Residence (each fixture) <br /> <br />New ConstrucUon (each fixture) <br /> <br />Alterations (each fixture) <br /> <br />Water Lines <br /> <br />For the first 100 feet or fraction thereof <br /> <br />For addilional f00 feet <br /> <br />Sewer Service Lines <br /> <br />AMOUNT <br /> $20.00 <br /> <br /> First 100 feet or fraction thereof <br /> Additional 100 feet <br />Mobile Home sewer/water connection <br /> <br />(maximum 8 feet length) <br /> <br />other (as per OSPSC and Building Official} <br /> <br />On-Site Technical Review (apply at Marion Counb/only) <br /> <br /> NO FEE <br /> <br /> $ 900 <br /> 9,00 <br /> 4,50 <br /> <br /> 9 00 <br /> 9,00 <br /> <br /> ~0,,00 <br /> 1500 <br /> <br /> 30,00 <br /> 15 O0 <br /> <br />/ 25,00 <br /> 25 O0 <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />CITY FEE <br /> TOTAL <br /> <br />Re-Inspection Fee <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee, <br /> <br />$ <br /> <br />i am a registered builder OR ( ] u,u authorized representative of SIGNATURE OF APPLIC <br /> <br /> <br />