Laserfiche WebLink
.Received By;; <br /> <br />MARION COUNTY BUILDING INSPECTION <br />Senator Bldg, NO, ~25 <br />220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone $88-$147 <br /> Code~A. Phone 4::30 ~M, - 8:00 AM. <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Job Address:: ' Site No :: Cross,Street:: <br />2 <br />.~bing Installer:: Phone:: Address:: <br />Nome Builder'~ Registration No.;; <br /> <br /> R,Si~en[i,JJ ~ ...................... ~ ~' Addition:: ~ I J;~, <br /> Alteration ....... O~'c'~p'~'~'"'"' '" Us~of Building:: <br /> Commemial:; ~ ~ Relocation:: ~ <br /> <br /> NO FEE AMOUNT <br /> Base Price $2000 <br /> Residential <br /> New construction (each fixture) $ 9 O0 <br /> Alte~rations (each fixture) 900 <br /> Re-located Residence (each fixture) 4,,50 <br /> Commercial <br /> New Construction (each fixture) 9 oo <br /> Alterations (each fixture) 9 00 <br /> Water Lines <br /> For the first 100 feet or fraction thereof / ~0,00 <br /> For additional 100 feet 1500 <br /> Sewer Service Lines <br /> <br /> .... First 100 feet or fraction thereof ,/' 30,,00 <br /> Additiona[ 100 feet 1500 <br /> Mobile Home sewer~vater connection <br /> (maximum 5 feet ~ength) 25.00 <br /> Other (as per OSPSC an,d.,Bui, lding officiali <br /> On. Site Technical Review (apply et Marion County only) <br /> Re-inspection Fee ................ 2500 <br /> FEE $ <br /> STATE SURCHARGB <br /> PLAN REVIEWFEE $ <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEETSUROHARGE $ <br />with the indicated fee, C~TYFEE $ <br />TOTAL <br /> <br /> I am perf°rming w°rk °n a b~°gerty I °wn °r °ccupy ¢ ~¢~.~~ <br />(,.~;;~..).~ emg .asrt ~3 ~ ieSdt e~ L~ ddbe~ ild e r O R (} the authorized representative ct SIGNATURE OF APP <br /> <br /> The work will be performed by a registered builder, ~ <br /> Other <br /> I agreeto I~stalJ according to the submitted plans and specifications,the laws of the state of Oregon and the ordinances of Marion County <br /> <br />MC 15-45 <br />Rev 12/87 <br /> <br /> <br />