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~ ~,,¢/,,,¢ MARION COUNTY BUILDING INSPECTION
<br />.~ece [,edl~y ~" ~na~r BI,g.. No. 225
<br />" ~/ ~ :~/ ' 220 High St~ NE
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<br />PLUMBING PERMIT APPLICATION
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<br /> JObAr:: :~ ~ :/~,¢ ~ ....... Sit, NO,;: C.ss%'~, ~¢ /
<br /> Plumbing, Installer ~ , , P~ne:: ~ .......... Addres~::~ ' ~ "'~'
<br />~c~/~x~,~, ¢¢¢-~/ ~-/ /~ -~z.~/~
<br />Home Builder~ ~gi~tra~ion
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<br />ResidenUal:; ~ New ~¢ Addition:: ~ Occu~anoy UseofBuJlding:: ""~
<br />co~.,~L,q .... ~,~,,o.:: ~ ,.~o~t~o.:; ...... o,~,~:: u .... ~ ~/¢ ¢4~.,,
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<br /> NO fee AMOUNT
<br /> Base. ,price $2000
<br /> Residential --
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<br /> -- New construction (each {ixtu"~e ..... ~_ ....... $ 900 ~,~'~-~
<br /> Alterations (each fixture) 9,00
<br /> Re-lo__cared Resld'~nce (ea~.h,,fixture) ........ 450 .......
<br /> New Constr~tlon e~ch fixture~ ...... , .... 9,00 --
<br /> Alterations (each fixture ....... 9.00
<br /> Water Lines
<br /> For the fi?,t 100 feet or fr~tion thereof .......... 20',,0'0
<br /> For add[tlone1100 feet 1500
<br /> Sewer Service Lines ....
<br /> First 100 feet or fraction thereof 30,~)0 --
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<br /> Additional 100 feet 15 00
<br /> ~rvlo bile Home sewerNv~,ier cosne¢ion ......... ' ......
<br /> (,maximum 5 feet length) 2500
<br /> Other (as per O.spsc end Building. Official ....
<br /> Os-Site Technical Review,.,apply at Marion Cou..nbj only ........ ' '
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<br /> ...... Re-inspection Fee 25,00
<br /> ........... FEE $' J~ ¢~'~'
<br /> STATE SURCHARGE _~ ~'~
<br /> PLAN REVIEW FEE
<br /> INVESTIGATION FEE $
<br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ .~.
<br />with the indicated fee, CITY FEE
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<br /> I am performing work on a properly I own Or o~cupy ~~
<br />( ',./'-,,~_. I am a registered builder OR ( ) the authorized representeSve of SIGNATURE OF AP
<br /> ~ registered builde[
<br /> The work will be performed by a registered builder,
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<br /> l egree to install according to tho submitted plans ~nd specifications, the laws of the stere of Oregon and the ordinances of Marion County
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