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Receiv~ <br /> /2./ <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Bldg. No. 2~$ <br />220 High Street NE <br />aalem~ Oregon 97.384 <br /> <br /> Phone 588-5147 <br /> Code-A-Phone 4:30 RM. - <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Job Address:: · ,, Site No,:: Cross 8treat:: ' <br /> <br />Plumbing Installer:: . Phone~: A~dress~ <br /> <br />Home Builder3 Roglotmtion NO:: ..... <br />Residential:: ~ .......... NO~:': ~ ....... Addition:: <br /> <br /> Sase Price NO FEE AMOUNT <br /> .... $20.00 <br /> Residential <br /> New cons~[ucgon'(each fixture ~ $ 9.00 ..~___z-,~. ~ ~ <br /> Alterations (each fixture 900 <br /> Reqocated Residence each fixture "' 4,50 <br /> Commercial ................. <br /> N,~w Construsilon (each fixture 900 <br /> Alterations (each fixture .... 9,00 ............ <br /> Water Lines <br /> Eor the first 100 feet ?,r fraction the'~of , 2000 <br /> For additional 100 feet 15,,00 ..... <br /> Sewer Service Lines ...... <br /> First 100 feet or f;action thereof 30 00 ' ' <br /> Additional 100 feet 15,00 <br /> Mobile Home sewer/water connection <br /> (maximu~ 5 feet length ..... £500 ....... <br /> Other (as per OSPSC and Building Offlcial) <br /> On-Site Technica! Review (apply at ~larion County only ..... <br /> Re-Inspection Fee ....... 2500 <br /> STATE SURCHARGE ~ 7~ <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEETSURCHARGE $ ....~,'",¢/¢¢ <br />with the indicated fee. CiTY FEE $ ,~, 70 <br /> <br /> ) [ am performing work on a property I ow~l or occupy ~~/ <br />~ I am a registered builder OR ( ) the authorized representative of $1GNATU RE OF A'~PLICANT <br /> a registered bull~e~ . <br />( ) The work will be per formoct by a registered builder <br />( ) Other,, e' <br />( ) I agree to ir)stall according to the submitted p~ans and 8pacifications, the laws of the 8tare of Oregon and the ordinances of Marion C~u~nty <br /> <br />MC 15-45 <br />Rev 12/87 <br /> <br /> <br />