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Received By:: <br /> <br />MARION COUNTY BUILDING iNSPECTION <br /> Senator Sldg. No, 225 <br /> 2~0 High Street NE <br /> Selem, OfegOt197301 <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4:30 <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Plumbing Installer / ~ <br /> <br />Home Builders,~Registration No :; <br /> <br />Residential:: ~ I New:: <br />Commercial [] Alteration;; <br /> <br />Phone' <br /> <br />Site No,;: <br /> <br />Phone:: <br /> 77 -/ <br /> <br />Addition:: [] <br />Relocation [] <br /> <br />Occupancy r ~seofBuilding .. <br /> <br /> / <br /> <br /> NO, FEE AMOUNT <br /> Base Price $2000 <br /> Residential <br /> New ¢onstruct. i.?,~.!,e~ch fixture) $ 9,00 <br /> Alterations (each fixture) 9,00 <br /> Re-located Re?,d~nce (each fixture) 450 <br /> Commercial <br /> New Construction (each fixture) ....... 9 0~-'- <br /> Alterations (each fixtc m~) ............. 9,00 <br /> Water Lines <br /> For the first 100 feet or f_r,a.,,c.!?~,thereof / 2000 ~ i ~"""~' .... <br /> For additional 100 feet 15 00 <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof / 30,00 <br /> Add~i~'n'~l'100 feet 15,00 <br /> Mebife Home 8ewer/water connection <br /> (m.a,~,imu m 5 feet length) 25,,00 <br /> Other (as per OSPSC and Building Offioia~l) <br /> On-Sit, e. Technical Review apply at Marian Caunty anly) <br /> Re-lnspectian Fee 2500 ................ <br /> <br />STATE SURCHARGE <br />PLAN REVIEW FEE $ <br />INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEETSURCHARGE <br />with the indicated fee. C~TY FEE $ <br /> <br />I am performing work on a p~pedy I own or occupy <br />I am a registered bulldor OR ( ) the aut horizod representative of SIGNATU RE OF APPLICANT/~ <br />a rogistorod buifde~ <br />The work ~ill be performed by 8 registered builder <br />Other <br />I agroo to i~stall acco~ing to the submitted plans and 8pecifica ions: the laws ¢ the 8tote of Oregon end he o~ hanses o Ma on Court y <br /> <br />MC 15-4S <br />Bev, 12/87 <br /> <br /> <br />