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MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. NO.. 235 <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4:30 RM.. - 8~t~) A.M.. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />0 w..~rI · Phone', Add r,.ea~,~ <br />SitUS Address:: .A" site No:: Cross Str~ <br />Plumhina I~staller:/ ~" ,~dress:: ............. <br /> <br />Home BuJlde~ RegiStration RS ..... * " <br /> <br />Residential:: ~ ..... New;; ....... ~" Addition::' ~ ~upancy Us~"Of~ild~ng'/ ~ "' <br /> <br /> NO FEE AMOUNT <br /> New constructiqn (each flxt,','~e) ........ $ '/50 <br /> Alterations each fixture). 7.50 <br /> Re-located Re~!.dence (each fixture 3.75 <br /> Commercial .... <br /> New Construction (each fixture .... 750 <br /> Alterations (e~ch fixture) 7.50 <br /> Water Lines <br /> For th,~ first "i'O0 feet or fraction,,~,he';~ef ~"' 20,,0? '" t.,~. ~'"~ <br /> Fo.r add[tlona1100 feet 15 00 <br /> Sewer Service Lines ........ <br /> First 100 feet or fraction thereof ........ ~ 3000 ........ <br /> Additional 100 feet 15.00 <br /> Lawn Spr!nklJng System ..... <br /> TO and iacludin~.?c.h protective device .... 5.00 <br /> Other (.as.. per OSPSC and Building official <br /> On-Site Technical Review apply at Marion County ol~i'~)... ' ' <br /> .... Re-Inspection Fee <br /> FEE $ ~'~; ~'" ,,,, <br />STATE SURCHARGE <br />PLANREVIEWFEE $ <br />DOUBLE FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ , .~. ~-~,~ <br />with the indicated fee,, ,~ CITYFEE $ <br />TOTAL $ <br /> <br />I am a registered builder OR ( ) the authorized representative of SIGNATU R E OF APPLICANT: <br />a registered bullde~ - .... <br />The wed( will be performed by a registered builder, <br />Other ..... <br />J agree reinstall according to the submitted plans and speeifisatlons~ the laws of the state of Oregon and the ordinances of Marion Cour~ty <br /> <br />MC 15-4-5 <br />Rev 3~7 <br /> <br /> <br />