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R~cei~d By;; <br />Date:: <br /> <br />MARION COUNTY BUILDING iNSPECTION <br /> S~netor Bldg, No. 22~ <br /> 221) High ~tmet NE <br /> Salem, Oregon 97~01 <br /> <br /> Phone 588-5147 <br /> Code-A-Pholle 4:30 RM. - 8::00 A,M, <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />' 'Own'~r:: Piffle: Mailing Address:; <br />~ A~dms~:: ..... Site No,,:: Cross 8t~et:: <br />Plumbing Installer:: ~ ...... Phone:: Address;; <br />Home Builder'S"Registration No.? <br /> <br /> Residential:: ~ ..... New:: ~ Addition:: ~ Occupancy U~'~ of Building; <br /> Commer~,~k ~ Alteration:: ~ Relocation; ~ Change:: ~ <br /> <br /> NO FEE AMOUNT <br /> Base Price $2000 <br /> Residential ...... <br /> New constr~Ctio,~,, (sash fixture) $ 9,00 <br /> Alte!~.!!?ns (each fixture) 9.00 <br /> Re-located Residence (each fixture) 4,,50 <br /> Commercial <br /> New Construc~iqn,.,(e~i~ fixture) 9.00 , ,, <br /> Alterations (each fixture) 9,00 ........ <br /> <br /> water Lines .......... ~ ~0 ,~- <br /> For the first 100 feet or fraction the~'f i ..... 20,,00" ' <br /> ~o~'~Jdltlona1100 feet ........ "~ 7 15.00 <br /> SewerServiceLines' ~',~r.~-~./~ ~'~u,,~'5~],~- ~0~"/~'~'~ -~'."~-7'~ <br /> First 100 feet ?r?ac~ion thereof .... / · 1 , .... 30 O0 <br /> <br /> Additional 100 feet ........... :~ ,,,~ 15.00 <br /> Mobile Home sewer~,ater ~onnection <br /> (maximum 5 feet length) 25,00 <br /> Other (as per OSPSC and Building Off. i,c. ial) .... <br /> On-Site Technical Review (~Dl~l,y...at Marion County only) <br /> 25.00 ..... <br /> Re-lnspecti0q,,F~,~ ..................... <br /> FEE <br /> STATE SURCHARGE "7~), <br /> PLAN REVIEW FEE $ ~'~)- 00 <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEETSURCHARGE ~ <br />with the indicated fee. CITYFEE $ -- <br />TOTAL ~ <br /> <br />I am performing work on a pmpemj I own or occucy <br />I am ~ registered builder OR ( ) the authorized represe~taUve of SIGNATU RE OF APPLICANT' ......... <br /> <br />Other, <br /> <br />MC 15-45 <br />Rev 12/87 <br /> <br /> <br />