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~ ii I I II <br /> <br />,,-lit <br /> <br />I I II I I II I I I II <br /> <br />I.FOR (~ITY USE ONLY MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br />Received By: 285 Church St. NE - Room 132 <br /> Salem, Oregon 97301 <br /> 8:00am-4:30pm Phone 588-5147 <br />IZoning Validation: <br />IDate: /.4 hr. Inspection Line 588-7904 <br /> FAX 588-7945 <br /> <br /> SITE EVALUATION AND/OR SEPTIC PERMIT APPLICATION <br />1. LOCATION...OF INSTALLATION <br /> <br /> . qg 3z TM <br /> Su~vision ~ bt BIlk No. Employ~ ~ <br /> <br /> ~ . ~va~W~l ~ S~ng ( ) <br />2. CONT~CTOR INFO~ON r~ <br /> <br /> ............... , ...... rZ2 ?b ,5 0 'c~'rn'~n. [.'r '- ' <br /> <br />Auth. Ag~ee - ~ - v -- · M~iling Addr~s Phone No. <br /> <br />~n~etor B~ine~ Name & N~r Mailing Address P~ No. <br /> <br />3. FEES <br /> <br /> ** lees include DEQ Surcharge ($30.00) $ <br /> Site Evaluation, Single Family Dwelling, fu~t lot ......................................................................................................... $320.00 <br /> Site Evaluation, Single Family Dwelling, ea addl lot ...................................................................................................... 235.00 <br /> Site Evaluation, Commercial, first 1('; .' .l'.' , 320.00 <br /> Site Evaluation, Commercial I000 - ',., ' .... ' ....... 500/gal + $100/500 gallons <br /> Site Evaluation, Rural Area Variance ........ ~ ..................................................................................................................... 320.00 <br /> Construction Permit or Commercial Major Repair, first 1000 gallons: <br /> Standard System ................................................................................................................................. 382.00 <br /> Aerobic System .................................................................................................................................. 218.00 <br /> Capping Fill System ........................................................................................................................... 593.00 <br /> ( ....... ' ! 382.00 <br /> I'l '1' ",,: I ,:, - ', .' ,' t82.00 <br /> Evapo~,anspimtion-Absorption System ............................................................................................. 218.00 <br /> Gray Water Disposal Sump ............................................................................................................... 190.00 <br /> Pressure Distribution System ............................................................................................................. 553.00 <br /> Redundant System ............................................................................................................................. 382.00 <br /> Sand Fitter System ............................................................................................................................. 703.00 <br /> Seepage Pit ......................................................................................................................................... 312.00 <br /> Seepage Trench .................................................................................................................................. 382.00 <br /> Steep Slope ......................................................................................................................................... 382.1)0 <br /> Tile Dcwatering System ..................................................................................................................... 550.00 <br /> Construction Permit or Commercial Major Repair, over 1000 gallons: <br /> Construction Permit Fee + $25/500 gallons <br /> Commercial Plan Review <br /> 600 gallons - 1000 gallons ............................................................................................................... 133.00 <br /> 1000 gallons - 2500 gallons ............................................................................................................... 133.00 + $25/500 gallons <br /> Commercial Minor Repair ............................................................................................................................................... 173.00 <br /> Single Family Dwelling, Minor Repair (tank only) ......................................................................................................... 130.00 <br /> Single Family Dwelling, Major Repair {drainfield) ........................................................................................................ 210.00 <br /> Residential or Commercial: <br /> Alterations .......................................................................................................................................... 378.00 <br /> Permit Renewal, Field Visit ............................................................................................................... 227.00 <br /> Permit Renewal, No Field Visit ......................................................................................................... 115.00 <br /> -~AUthorization, Field Visit .................................................................................................................. 247.00 <br /> uthorization, No Field Visit ............................................................................................................ 117.00 <br /> Existing System Evaluation ............................................................................................................... 247.00 <br /> Annual EvaluatiordAltemative System .............................................................................................. 247.00 <br /> Annual Evaluation Temporary/Hardship Mobile Home .................................................................... 183.00 <br /> Annual Evaluation, Large System ..................................................................................................... 123.00 <br /> Pump or Dosing Siphon ....................................................................................................................... 25.00 <br /> P~mper Truck Insl~ction, First Vehicle ............................................................................................................................ 67.00 <br /> Pumper Truck Inspection, Ea Additional Vehicle ............................................................................................................. 40.00 <br /> Septic Reinspection Fee ..................................................................................................................................................... 25.00 <br /> Septic Inspection for which no f~e is specifically indicated .............................................................................................. <br /> <br /> <br />