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Received By;: <br /> <br />Date,, _,,,,, <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg, No,, 2~.~ <br /> 220 High Street NE <br /> Salem~ Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code.A.Phone 4=30 RM, - 8:00 A,M, <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br /> Phone:; Mailing Adj:iress:: <br /> ......... <br />Job Address' Site No :: Cross Street:: <br />mbing Installer ,, Phone;; Address;: <br /> <br />Rome Buitder~ Regi'st~'atlon No,,:;~ ~ <br />Residential. ~ New:: ~ A~ition:: ~ Occupancy '"'~e'ofBuildlng;: <br /> <br /> NO.. FEE AMOUNT <br /> Base Price ...... $20 00 <br /> Residential <br /> Newcon~truction eechfixtur~ $ 900 <br /> Alterations (each~!xture) . . 9 00 <br /> Re-located Residence each f?ure ....... 450 <br /> Commercial <br /> New Construction (each fixture) ............ 9.00 <br /> .... XIteret!,?ns (each fl;i',,;e) ........ goo <br /> Water Lin'es ...... <br /> For the first i00 feet or fraction thereof ........... 2o,oo <br /> For additional 100 feet 1'~'00 <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof 30.00 <br /> Additional 100 feet 1500 <br /> Mobile Home sewer~vat~r cennection <br /> (maximum 5 feet length) .,/ 25 00 ~_ '~"~ <br /> ._Othe--r'" '~s per OSPSC and. Buildii~'g Official) <br /> On-Site T.e~hnicai 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. C~TY FEE $ <br />TOTA, <br /> <br />) I am a registered builder OR ( ) the authorized representative of SIGNATURE OF APPLI ' <br />) Other <br /> <br />MC 15-45 <br />Rev 12/87 <br /> <br /> <br />