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MARION COUNTY BUILDING INSPECTION <br /> Senator aids No 225 ~ <br /> <br /> MP, RION COd ,,I,, <br />BUILDIN~ tNSPECPEUMBING PERMIT APPLICATION <br /> <br /> Job Address <br /> <br /> .... J~_ _::,,2______~,,~_ -.__~ <br /> Plumbing Instafier:: <br />._'7~ C.-:. /~ ~_,.. 1 _,.~ I 1~ Y / ~- <br /> Home Buiider s Registration No :: <br /> <br /> Residential ~ New ~ ..... <br /> Commerciat:: LJ Alteration <br /> <br />Phone <br /> <br />Siie No <br /> <br />Phone <br /> <br />Addition bJ <br />Reloc&tion ~ <br /> <br />Oocupa. ncy U ~ of, Building * <br /> <br />Base Price <br /> <br />Residential <br /> New construction (each fixture) <br /> <br />Alterations (each fixture) <br /> <br />Re-located Residence (each fixlure <br /> <br />New Construction (each flxturc <br /> <br />Alterations (eaCh fixture} <br /> <br />Water Lines <br /> <br /> For the first 100 feet or fraction thereof <br /> For additional 100 feet <br /> <br />Sower Service Lines <br /> FirSt 100 feet Or fraction thereof <br /> <br />Additional 100 feet <br /> <br />NO FEE <br /> <br /> $ 900 <br /> 9 00 <br /> 4 50 <br /> <br /> 9 00 <br /> 9 00 <br /> <br /> 20 00 <br /> 1500 <br /> <br /> 300O <br /> 1500 <br /> <br />AMOUNT <br /> $20 00 <br /> <br />Mobde Home sewer/water conneCtiOn <br />maximum 5 feet length ~5 00 <br />Ct h ;'r-7~t~ n~-u ilO, n g; elbe,aT) <br />' O~'~fi~ Technical Review ~apply at Mar~on County only) <br /> <br />Please return COMPLETE APPLICATION <br />with tt~e indicated fee. <br /> <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br />CiTY FEE <br /> TOTAL <br /> <br />Other. <br />I 8(iree I0 In$1all according to the submitted plans and specificatiorl~+ ~he lew~ of the state of Oregon and the ordinaf~c0s OI M8don County <br /> <br />MC 15-45 <br />Rev <br /> <br /> <br />