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MARION COUNTY BUILDING INSPECTION <br />Senator Bldg. No. 225 <br />220 High Street NE <br /> Salem~ Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code-A.Phone 4:30 RM, - 8:00 AM. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br /> Phone:; Mailing <br />Job Address;; Site Nc :: Cros,~St~et:: <br /> Address;; <br />Plumbing Installer:~ Phone:: <br />Home Builder~ Registration NO :: <br /> <br />Residential:: ~ New:: ~ Addition:: ~ Occupancy <br /> <br /> NO. FEE AMOUNT <br /> Base Price $2000 <br /> Resldential <br /> New construction (each fixture) $ 9.00 <br /> Alterations (each fixture) <br /> Re.located Residence (each fixture) 450 <br /> Commercial <br /> New Construction (each fixture) 9 oo <br /> <br />.... .AJ.t .e,,~!i° ns, (each fixture) 9,00 ....... <br /> Water Lines <br /> For the first 100 feet or fraction thereof / 2000 ~.~ <br /> For additional 100 feet 15.oo <br /> Sewer Service Lines <br /> First 100 feet or fraction thereof / 30.00 ~,','~_ .~,~ ~ <br /> Additional 100 feet 15.00 <br /> Mobile Home sewer~vater connection <br /> (maximum 5 feet I~.g!.h! .... 2500 <br /> Other (as per OSPSC and Ruilding OffiCial) ' ' <br /> On-Site Technical Review apply at Marion County only <br /> Reqnspection Fee .......................... 2500 <br /> <br /> STATE SURCHARGE c~, ,,~'-~ <br /> PLAN REVIEW FEE <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ ..~// <br />with the indicated fee. CiTY FEE $ <br />TOTAL $ ~, ~'~ <br /> <br /> I am performing work on a property I own or occupy <br />(/~/-L.. I am a registered builder OR ( ) the authorized representative 0f <br /> a registered builder <br /> The wotl( will be perforrned by ~. registe~d builder <br /> Other <br /> <br />) l agreetoinstallaccordingtothe submilled plans and specifi~ations, thelawsofthestateofOmgonandtheordinanoesct Marion County, <br /> % <br /> <br />MC 15-45 <br />Rev 12/$7 <br /> <br /> <br />