Laserfiche WebLink
Received By:: · <br /> <br />cate;: /-/_¢- <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> ,~ Senetor Btdg,, No, 22g <br /> 220 High Street NE <br /> Salem,, Oregon 97301 <br /> <br /> Phone $gg~147 <br /> Code-A.Phone 4;30 AM, - 8::130 A,M, <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Job Address:: <br /> <br />Plur~bina Installer: ~ <br /> <br />Home Builder's Registration No:: <br /> <br /> I New:: <br />Commercial ~ Alteration:: <br /> <br />Phone:: r, Jreaa <br /> <br />Site No ;: <br /> <br />Phone <br /> <br />Addition [] Occupancy ' Ua~of Building <br />Relocation [] Change' ~ t,,~ ~/~ ¢¢/7[~¢_ r~ ~,[ ~,/~. <br /> <br /> NO FEE AMOUNT <br /> Baae Price $20,,00 <br /> Residential <br /> New construction (each fixture) ~ $ 9,00 .... <br /> AIterationa (each fixture) 9.00 <br /> Re4ocated Residence (each fixture) 450 <br /> Commercial <br /> New Construction (each fixture) 9 00 <br /> AIterationa (each fixture) 900 <br /> Water Lines <br /> For the first 100 feet or fraction thereof 20.00 <br /> For additional 100 feet 1500 <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof 3000 <br /> Additional 100 feet 15 00 <br /> Mobile Home sewerhvater connection <br /> (maximum 5 feet length) 25,00 <br /> Other (as per OSPSC and Building Official) ........ i <br /> On-Site Technical Review (apply at Marion Couni¢ only) .................. <br /> Re-Inspection Fee 2-5 O0 <br /> FEE $ <br />STATE SURCHARGE <br />PLAN REVIEW FEE $ <br />INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE ~- <br />with the indicated fee,, CITY~EE $ <br /> <br />I am performing work on a property I own or occupy <br />I am a registered builder OR ( ) t he authorized representati~ e of SIGNATURE OF A <br />a registered builder <br />Other The w°rk will be perf°rmed bY a registered builder '~ <br />I agree to install according to tl~e submitted plans and specifications, the laws ct the state ct Oregon and the ordinances ct Marion County <br /> <br />MC 15-45 <br />Rev 12/87 <br /> <br /> <br />