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Received By;: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br /> 220 High Street NE <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br /> Owner ...... Mailing Address:; <br /> ................................ <br /> Plumbing Installer ~ . Phone, Add~e~s:~ <br /> Home Builder~ Registration No :: ~ <br /> <br />...... ' ;: ~ ........ ~' 'New ~ Addition;; ~ Occupancy Us~ of Building;; <br /> Commercial' ~ ....... I Alteration:; ~ Relocation:: ~ Change:: ~ d~/~ <br /> <br /> NO, FEE AMOUNT <br />Base Price $2000 <br />Residential <br />New con~i'r~ction (e.a~h fixture) ~, $ 9,00 <br />............. Alterations (each fixture) 900 <br />Reqooated Residence (each fixture 4 50 <br />Commercial <br />New Construction (each !,i~!~re) 9,00 <br />Alterations (~eeach fixture 9 00 <br />Water Lines <br />For the first 10~'i~i ~r iraction thereof 2000 <br />For additional lOO feet 1500 <br />Sewer Sen/ice Lines .......... <br />First 100 feet or fraction thereof 30.00 <br />Additional 100 feet 1500 <br />Mobile Home sewerAvater connection ......................... <br />(maximum 5 feet length) 2500 <br />Other (~s per OSPBC and Building Official) <br /> On-Site Techni .c~!,,~i~w (apply at Marion County only ................ <br /> Re-lose ,e,~!!~n Fee 2B,00 <br /> <br /> STATE SURCHARGE ~ ~'~ <br /> PLAN REVIEW FEE <br />iNVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ <br />with the indicated fee. CI'i'~FEE $ <br />TOTAL <br /> <br />I am performing work 0n e properly I own or o~upy <br />i ~,,, a registered builder OR ( ) the authorized representalive Of <br /> <br />The w~rk will be performed by a registered builder <br />Other <br /> <br />) I agree to install according to the submined plans and spe¢lfloations, the laws of the state of O~egon and the ordinances of Marion County <br /> <br />MC 15-45 <br />Rev 12/67 <br /> <br /> <br />