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MARION COUNTY BUILDING INSPECTION <br /> ~enator Bldg. NO, 225 <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone 588-$147 <br /> Code~A.Phoi3e 4=30 EM, - 8::00 AM, <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Home Builder's Registration NO:: ~ '~,~.~ <br />/ <br />Residential, ~ ..... New:; ~ ......... Addition:: ~ O~upancy Use of Building:': ....... . <br />Commemial::...F ..... Ateraton;; ~ Relocation: ~ Change:: ~ I....~Z,I~/~ ~c~ <br /> <br /> NO,, FEE AMOUNT <br /> Case Price .................. $20.00 <br /> Residential <br /> ceestru i,o, ( aoh fi iu e) ..... $ ,,00 .... <br /> Alterations (each flxtun~ .... 9 O0 <br /> Re-leda!ed Residence (each.,!!x.!~ re 46~0 <br /> Commercial <br /> New Construction (each fixture ........ 9,0g" <br /> Alteratio,n.s (each fixture) .......... 9 00 <br /> Water Lines <br /> For the ![!,~t 100 feet or fracti~'~"thereof ............. / '20,,00 ~.~, <br /> For additional 100 feet i 500 <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof / .......... $0"0'0 <br /> Additional 100 feet 15.00 <br /> Mobile Home sewerA~vater connection <br /> (m.,~ximum 5 feet length) 25 g0 <br /> Other (as per OSPSC a.n~,Building ~fficial .................... <br /> On-Site Technical Review apply at Marion County o~'iy) .... ' ..... <br /> Re-Inspection Fee ....... 35,00 <br /> <br />STATE SURCHARGE <br />PLAN REVIEW FEE $ <br />INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ <br />with the indicated fee,, C~TY FEE <br />TOTAL . $/"~. ~ <br /> <br />() I am performing~,, work on a propertylow~ or occupy A/~.~.. ~"~ ~ ~~ ~'~'~-~ <br />~ I am a registered builder OR ( ) the authorized representative of SIgNATUrE OF <br /> <br /> The work will be pedormed by a registered builde~ <br /> ether <br /> I agree 1o insteff a~ording to the submitted plans andspecificetions=thelawsctthes~teofOmgonandtheordl~an~sofMarionCounty <br /> <br />MC ~$-45 <br />Rev 12/87 <br /> <br /> <br />