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May-30-96 04:01P CITY OF AURORA 503-678-2758 P.01 <br /> <br /> MARION COUNTY BUILDINO INSPECTION <br /> COMMUNITY' DEVI~LOPMENT CENTEE i~ERMiT NO: <br /> <br /> Received by~ Salem, OR 97:301 Da[tO: <br />[Onte:~ I "~ 24, Hr lnq~ction Line: 58&-790~ <br /> Off'r.e: 588-5147 8:0Os.tn.-4:30p.m. ISSU~CI by: <br /> FAX: $88-T948 <br /> <br /> m <br /> <br />Please complete all Sections, 1 through <br /> <br />1. LOCATION OF INgTALLATION <br /> <br />PERM]TS AR~ NON-TRANSFER. ABLE AND E. XPIRE IF WORK iS NOT <br />STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUSPENDED FOR 180 DAYS. <br /> <br />211. FOR OWNI~R INSTALLATIONS <br /> <br />]~mp=~y f.)w~t tplca~ l)rit~t.I <br /> <br /> Mailing Address l~ton¢ <br /> <br /> City/Sc=ce/Zip <br /> , <br /> I <br /> <br /> Marks County docs not require a plan review. <br /> We will provide plan review sc~icc if you complete <br /> S~on SD and submit ~o (2) sets of plans and <br /> specifications with this application, <br /> <br />~ lY-4Y <br /> <br />4. FBB ~CHIRDUL]~ (Compmcso and em~otal in Al b~low,} <br /> RESID~¢'rIAL ~" COMMERCIAL ID <br /> USB OF STRUCTURE: <br /> NLrA' ~l ^LTERATION I~ ADDITION CJ RELOCATION <br /> <br /> No, X <br />BASE FEE $20.00 <br /> <br />RESIDENTIAL (each fixture) <br /> <br />$ioglo Family c~ multi-family per <br />dwolling unit <br />New c. onslmction S 10.00 <br />Ah~tltion~ $10.00 <br />Rc,;onnecc <br />Relocated Stm,qure $ 5.00 <br />Modular Sinecure $ 5.430 <br /> <br />Walct <br />First 100 ~, or frcction Ch=l~Ol' $20.00 <br />For ~, ad&il' 100 ft. (up co <br />maximum oFS00 ~.) <br /> <br />Sashay/& $lotm Linca <br /> First 100 fl. or fraction <br /> For addnl' 100 R, (up to <br /> maximum of S~O II.) <br /> <br />COMMERCIAL {each tLxtum) <br /> <br /> N~v ~onacruction ~ $ I0,00 <br /> Alteratior~ $ IO,00 <br /> Rccomt¢ct $ I0.00 <br /> <br />Water lln=s <br />First 100 fl. or fi'action Ihcreof $25.00 <br />F~r ca. addnr 10o lt. <br /> <br />Ssnila~ & Sierra Linc= <br /> Fiat IO3 ft. or tYnccio, dmreo[' <br /> Fur addnl' IiX} fl. <br /> <br />PROTECTIVB BACKFLOW DBVICE <br /> ]..awn vacuuatt breaker (spritS'let sysc=m) <br /> Ail othcr. <br /> <br />$t$,00 <br /> <br />S30.00 <br /> <br />S15,00 <br /> <br />$ 4.50 <br />SI0.O0 <br /> <br />5. FBE$ <br /> Al, Enter u,tnJ off=cs from Sec, <br /> A2, Add 5~, smm;hargc (.05 x Al) <br /> ~bt~al <br /> <br /> B. ~te~ 25~ o~lino A I for Phs R~view <br /> (A I ' .25}, ff ~uimd <br /> C, lnwati~a~km Fao (if~qui~d) <br /> D. ReinFeCtiOn F¢~ <br /> <br /> <br />