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MARION COUNTY BUILDING INSPECTION <br /> Senator Bldg. NO,, 225 <br /> 220 Higlt St react NE <br /> Salem~ Oregon 9734)1 <br /> <br /> Phone $8~-~147 <br /> Code-A-Phone 4:$0 RM,- 8:00 A,M, <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Job Address Site NO :: Cr~:,~Street <br />Y/$ ¢'U .............. <br />Plup~bing lastaller~ P o e:: A ress <br /> <br />Residential:: ~ New;; ~ Addition' ~ O~upancy [ Useofguilding: <br />Comme~ial:: ~ Alteration:: ~ Relocation:: ~ Change;: ~ j.~;~j¢ ~XXI, /~/ ....... <br /> <br /> NO, FEE AMOUNT <br /> Base Price $20 00 <br /> Residential <br /> New consfrdc~ioc (each fixture) "-"-~'~S *,O0 <br /> Alterations (each fixture) 900 <br /> Re-located Residence (each fixture) 4,50 <br /> Comrnarclel <br /> New Construction (each fixture) 9 00 <br /> Alterations !,,e,,a.?,,fixt u,re} 9:00 ................................... <br /> Water Lines <br /> For the first 100 feet or fraction thereof 20.00 <br /> For additional 100 feet 1500 <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 length) 25,00 <br /> ,_.O?,~r (as par OSPSC end Building Official) <br /> On-Site Technical Review (apply at Marion County only) <br /> R e- In s pec,._~tt!o n..~,e ........ 2500 <br /> STATE SURCHARGE ~"~ <br /> PLAN REVIEW FEE $ <br /> INVEST]GATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ ~, ~-,-,-,-/ <br />with the indicated fee, CiTY FEE <br /> <br />) The work will be pedotrned by a registered builder <br />) Other <br /> <br />MO 15-45 <br /> <br /> <br />