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MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. Ne. <br /> 220 High Street NE <br /> Salem, Oregoe 973el <br /> <br /> Phone 588~t 47 <br /> C~¢le-A-Phone 4:30 RM. - 8:00 <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Owne~.-.. ,, Mailing Address;; <br />Job ACtress:: ' Cross Ctmet, <br />.. <br />Plumbing Installer, . Address:: <br /> <br />Residenti~'l ¢~¢¢¢ ~ew ~' Addition ~ O~upan~ U~ofBuilding <br /> <br /> NO FEE AMOUNT <br />Base Price $20,00 ,,, <br />...... Residential <br />-- N,~wconstrcction (each fixture '$ 900 <br />Alterations (eash fixture) 9,00 <br />Re-locaied Residence (each fixture). ' 4.50 <br />' Commerclal' <br />New Construction (each fixture) 900' <br />; Alterationa (each fixture) 9.00 <br />I <br />water Lines <br />For the first 100 feet or fraction thereof 29..00 <br />For additional 100 feet 15,00 <br />Sewer Service Lines <br />First 100 fee'i or fraction thereof 3000 <br />Additional 100 feet 15,00 <br />Mobile Home sawer/Water connection <br />T'__ maximum 5 feei'Jeng h , ./ 2500 <br />Other (as per OSP$C and Building Official) <br />On-Site Technical Review (apply at Marion County only) <br />Re-inspection Fee 2500 <br /> FEE $ ,..~ ~". <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 />TOTAL $ ~.~ ~, .5-¢ <br /> <br />) ' a'" registeBd builder OR (. registered b~Jlde[, ) the authorized ~p~so.tativeo, SIGNATURE OF APPLIC~Z 0 "0~. <br /> <br /> Other <br /> l agree to install aooo~infl to the sub~i~d plans and specifioat~ons, the laws oNbe state of Oregon and the o~inences of Madon CounW <br /> <br />MC 15-45 <br />Rev 1~/87 <br /> <br /> <br />