Laserfiche WebLink
Received Bi;; . <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> ~enatot Bldg. NO. 225 <br /> 220 High Stl~et NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-8147 <br /> Code-A-Phone 4:30 PM. - 8:00 A.M. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Home Builder~ Registration NO :: <br />  Occupancy <br />Residentia,'~ New' ~" Addition;; U Change;; <br />OommercJal' ~ ...... Alteration ~ .............. Reloeatlon;; g <br /> <br /> NO FEE AMOUNT <br />,._B~,~e Price ........ $20.00 <br />........... New construction (each fix'~ure ........... $ 9.00 <br />~![erations (each fixture) ........... 9,00 <br />Alterations (eeq,h,,fP(tum) 900 <br /> <br /> First 100 feet or fraction t~'~reef ........... g0 00 <br /> <br /> (maximum 5 feet length) / 2500 <br />....... Other (as pet OSPSC and,Building Official) <br /> OmSite,._T?h nical Review (apply at Marign County only) <br /> <br />STATE SURCHARGE ,~ ~.~" <br />PLAN REVIEW FEE $ <br />INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEETSURCHARGE $ <br />with the indicated fee, CITY FEE $ j, ~' ....... <br /> <br />( ] I am performing work on a property I own er occupy Ap(~N ~ /4 ~ o .~ ..,~,~ t'~ ~ . i _ .%,~ <br />( ) I am a registered builder OR ( ) the authorized representative of SIGNATURE OF <br /> ~Tregistered builder <br /> he work will be performed by a registered bull~le~, <br /> ) Othe~ ..... <br /> <br />MC 15-45 <br />Re~ 12/87 <br /> <br /> <br />