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COUNTY BUILDING iNSPECTION <br /> <br /> Sa em, O~go. 97301 ~ / c <br /> <br /> LuumNG PER ,T APPucAT ON <br /> <br />Sase Price <br />Residential <br /> <br />New eonstructi~n t~e__a.c_~ fix!u_re_) <br />Alteratione (each fl×tuts) <br /> <br />Re-located Residence (each fixture~ <br /> <br />Commercial <br /> New Con$truiJiOn (each fixture) <br />Alterations (each fixture) <br /> <br />Water Lines <br /> For the first 100 fee~ er fraction ~hereof <br /> <br /> FOr additional 100 feet <br />Sewer Ser4ce Lines <br /> First 100 feet or fraction thereof <br /> <br />'Site No <br /> <br />Addition <br />Ret0cation <br /> <br /> Additional 100 feet <br />Mobile Home .ewerNvater connection <br /> <br />Other (as per OSPSC and Building Ofliciah <br />On-S!te '[echnical Review tapply at Mar~on Count~ onfy~ ............ <br /> <br />NO <br /> <br /> FEE AMOUNT <br /> $20 00 <br /> <br /> $ 900 <br /> 9 00 <br /> .............. <br /> <br /> 9 O0 <br />.... ~ od <br /> <br /> 20 O0 ~ O 0 <br /> I5 O0 <br /> <br />1500 <br /> <br />Re. Inspection Fee <br /> <br />Please return COMPLETE APPLICATION <br />with the ind,cated fee <br /> <br />25 00 <br />............ ~EE <br /> STATE SURCHARGE <br /> PI,AN R~VIEW FEE <br /> INVESTIGATION FEE <br /> FLEET SURCHARGE <br /> CITy FEE <br /> <br /> TOTAL <br /> <br />$ <br /> <br />$ <br /> <br />) I agree to ~nstall according to the submitted plans and specifications the laws of the state of Orooog and tht~ ordinances of Marion County <br /> <br />MC 15-45 <br />POe 12~7 <br /> <br /> <br />