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Appl Reed MONDAY <br />8y <br /> <br /> MARION COUNTY ....? ~.,, o.,;~o~ ,~.o~,o~ > <br />BUILDING INSPECTION .~/~'~ <br />PLUMBING PERMIT Bldg Permit No ~~ <br />220 High Street NE <br /> <br /> Phi 588-5147 PIb9 Permit No <br /> <br />Address <br /> <br />Owner <br /> <br /> 3 miles west of <br />NORTH SANTIAM <br /> Sec ....... Twns~h~o _ Rge <br /> <br />Plbg Installer Address Phone ..... <br /> <br /> NO. FEE AMOUNT <br /> Base Price $ 10.00 <br /> Residential <br /> New construction (each fixture) ._~$ 7..~0_ <br /> Alterations (each fixture) 7.50 <br /> Re-located Residence (each fixture) 3.75 <br /> Commercial <br /> 7,50 <br /> New Co. nslr.u..c.,!ion {each fixlure) ....... <br /> Alteratlop~ (each fixture) 7.50 <br /> Water Lines <br /> For the first lgg feel or fraction thereof / --~'~) .... <br /> For additional 100 feet ~ 15.00 /~,~' <br /> First 100 feet or fraction thereof 30.00 <br /> Additional 100 feet 15.00 <br /> Lawn Sprinkling System <br />To and including each protective device 5.00 <br />,_Other (aa per OSPSC and Building Official) <br />Please return COMPLETE APPLICATION PLAN REVIEW FEE $ <br />with the indicated fee, DOUBLE FEE $ <br />TOTAL $ <br /> <br />I agree to perform work according to the submitted plans and specifications, the laws of the State of Oregon and the <br />Ordinances of Marion County PERMIT EXPIRES IF WORK NOT COMMENCED WITHIN 180 DAYS I further <br />expressly warrant that I comply with the provisions of ORS 701005 to 701125 because <br /> <br />I am a registered and licensed plumber or <br />The authorized representative of e registered and licensed plumbing COntractor <br /> <br />The work will be performed by a registered and licensed plumber <br />I am performing work on a property I own or OCCupy <br />Other (please specify) <br /> <br />81drs, Board Reg,# <br /> <br /> MC 15-3 <br /> <br /> <br />