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MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High Street ~ <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-5147 S:00 mm, - 4:30 p.m. <br /> Code-A-Phone: 558-7904 <br />PLUMBING PERMIT APPLICATION Fax: ssg.79as <br /> <br />Please complete all Sections, I through 5 <br /> <br />SITE #: <br /> <br />Date: <br /> <br />Issued by: <br /> <br />Permit No. <br /> <br />Di~ceotts <br /> <br /> ?EP,3A]TS AIkE NON-TRANSFEIL~BLE AND NON-IL~FLTNDABLE AND <br /> ~P[[~ IF WO~ IS NOT STAR~I) ~ 180 DAYS OF ISSUANCE <br /> OK IF WOrK IS SUSPENDED FO~ l~0 DAYS. <br /> <br />}'OR OWNEI~,'"[NSTALLATIO N $ <br /> <br />3, PI,AN REVIEW SECTION <br /> <br />4. i~E SCI~DULE (Complete and emer total/a A1 below) <br /> [] REsxr, s'r g L..i covnvm tcz <br /> <br /> ~W ~0N ~ ADDI~0N ~ aEI~'[ION ~ <br /> <br />NO, XFEE -SUM. <br /> <br /> BASE FEE <br /> A. RESIDENTIAL <br /> <br /> S/ngle Family or multi-Family per <br /> dwelling unit (each flxtme) <br /> New construction $ 9.00 <br /> Alterations --4 9.00 <br /> Re-located stmctm'e --$ 4,50 <br /> <br /> Water Lines <br /> First 100 ff. or fraction thereof__$20.00~,.. <br />?f3 / or ada ,io a a. <br /> maximum ofS00 t~et) --$15,00 <br /> <br /> Sewer Lines <br /> First 100 feet or fraction thereof ..... $30.00,-- <br /> For additional 100 feet (up to <br /> maximum 500 feet.) -- $15,0ti <br /> <br /> COMMERCIAL (each fixture) <br /> <br /> New eonstmctinn __ $ 9.00_., <br /> Alterations --. $ 9.00-, <br /> Re-located structure --. $ 9.00,, <br /> <br /> Water Lines <br /> First 100 feet or fraction thereof <br /> For additional 100 feet <br /> <br /> Sewer Lines <br /> First 100 feet or fmcti0n thereof <br /> For additional. 100 feet <br /> <br /> C, LAWN SPP,3.NKI,ER SYSTEM <br /> Each protective backflow device --$ 4,50 -- <br /> <br />D, OTIIER (as re~luired by OSPSC and <br /> Building Oflicml) <br /> <br /> _$3o oo,..:~O,v <br />· <br /> <br />We will provide plan review service if you complete Section <br />5B and submit two (2) sets of plans and Specifications with <br />this application, <br /> <br />This optional plml review program does not suspend the <br />required submission of plans, and specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53, <br /> <br />klC 15-45 <br />Rev, 7/92 <br /> <br />5, FEES Al. Enter total of fccs from Sec. <br /> A2. Add 5% s~ch~ge (.05 k Al) <br /> <br /> Subtotal <br />B. En~ 25% of linc Al for PI~ Revie~ <br /> (.25 x Al) if required <br /> C. Investigation Fcc (i~equircd) <br /> <br /> <br />