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Received by: <br /> <br /> PLUMBING PERMIT APPLICATION I <br />P/ease comp~ere a// Sections, 1 through <br /> 5 <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High Sweet NE <br /> <br /> SITE # o ~,j <br /> Date: 1 $ 199 , <br /> <br /> L LOCATION OF INSTALLATION <br /> <br />City I Cro~s <br />Directions <br /> <br />?ERMI]~ ARE NON-TRANSFEP. A]~LE AND NON-P~EFUNDABLE AND <br />EXPIILE iF WORK IS NOT STARTED WITHIN 180 DAYS OF ISSUANC~ <br />OR ] F WORK IS SUSPENDED FOR I go DAYS, <br /> <br /> 2A, CONTRACTOR iNSTALLATION ONLY <br /> <br />FOR OWNER INSTALLATIONS <br /> <br />BASE FEE <br />A, RESIDENTIAL <br /> <br />Single Family or multi-Family per <br />dwelling unit (each fixture) <br /> New constmctiofl <br /> Alterations <br /> He-located structure <br /> <br />Water Lines <br /> First 100 fir, or fraction thereof, <br /> For additional 100 ii, (up to <br /> r~ximum of 500 feet) <br /> <br />Sewer Lines <br /> F~r~t 100 feet or fraction thereof <br /> For additional I00 feet (up to <br /> maximum 500 feet) <br /> <br />COMMERCIAL (each fixture) <br /> <br />New constnict/on <br />Alterations <br />Re-located s~ucttwo <br /> <br />NO. XFEE -SUM <br /> <br /> $20,00 <br /> <br />--$ 9.00 <br />--$ 9,00-- <br /> _ $ 4,50~ <br /> <br />/ $20.00 <br /> <br />$15,00__ <br /> <br />J $30,0tt~'~ <br /> <br />~$15.0(L <br /> <br />__$ 9.00,, <br /> · , , $ 9,00-- <br /> $ 9,00~ <br /> <br />Water Lines <br />Fi~t 100 feet or fi.action thereof -- $20,00 <br />For additional I00 feet --$15.00~ <br /> <br />Sewer Lines <br />First 100 feet or fraction thereof __$30,00__ <br />For additional 100 feet $15.00 ...... <br /> <br />LAWN SPRINKLER SYSTEM <br /> <br />Each protective backflow device ~ $ 4,50 -- <br /> <br />OTHER (as required by OSPSC and <br />Building Official) <br /> <br />We will provide plan review service if you complete Section <br />5B and submit two (2) ~ets of plans and specifications with <br />this application. <br /> <br />This optional plan review program does not suspend the <br />required submission of plans, and specifications when requked <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />,fO 15-45 <br />Rev, 2/92 <br /> <br />5. FEES <br />Al. Enter total of fees from Sec, # 4 <br />A2, Add 5% surcharge (.05 x Al) $ <br /> <br /> Subtotal $ <br />B, Enter 25% of linc A1 for Plan Review <br /> (.25 x Al) if req~red $ <br /> <br /> $ <br /> <br /> TOTAL AMOUNT DUE $ ~,~ <br /> "7/ <br /> <br /> <br />