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MARION COUNTY BUILDING INSPECTION <br />Sensor Bldg. No. 225 <br />220 High Street NE <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Residential:: <br />Commercial <br /> <br />New;: [~' Addition:: [] <br />Alteration [] Relocation;; [] <br /> <br />Cross Street:: <br /> <br />Address <br /> <br />Occupancy Use of Suilding::~ · <br />Cha.r e [] <br /> <br />Residential <br /> <br />New construction (each fixture) <br /> <br /> Alterations (each fixture) <br />Re-located Residence (each fixture) <br />Cdmmemiei <br /> <br />New Construction (eash fixture) <br /> <br />Alterations (each fixture) <br /> <br />Water Lines <br /> For the first 100 feet or fraction thereof <br /> For additional lo0 feet <br />Sewer Service Lines <br /> <br /> First 100 feet or fraotloll thereof <br /> Additional 100 feet <br />Mobile Home sewer/~vater connection <br /> <br />(maximum 5 feet length) <br /> <br />Other (as per OSPSC and Building Official) <br /> <br />On-Site Technical Review (apply at Marion County only) <br /> <br />Please return COMPLETE APPLICATION <br />with the indicated fee. <br /> <br />Other.,, <br /> <br />NO,, FEE <br /> <br /> $ 9.00 <br /> 900 <br /> 4.5O <br /> <br /> 9.00 <br /> 9,00 <br /> <br /> / , 2000 <br /> 15 O0 <br /> <br /> / 30 co <br /> 15,00 <br /> <br /> 2500 <br /> 2500 <br /> <br /> FEE <br />STATE SURCHARGE <br />PLAN REVIEW FEE <br />INVESTIGATION FEE <br />FLEET SURCHARGE <br /> <br />AMOUNT <br /> $20.00 <br /> <br />CITY FEE <br /> TOTAL <br /> <br />) I agree to install a0cording tO the submitted plans and specifications= the laws of the sis e o Oreoon and~he o d Ilances Of Ma on County <br /> <br />MC 15-45 <br />ReV 12/87 <br /> <br /> <br />