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MA~_~IO~ COUNTY BUILDING INSPECT ON <br /> <br /> 220 High ~treet NE <br /> .... ~lem, Oregon 97301 <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Job~l~>~ss: .... . SiteNo.: Cross eat; , <br />Home Build~r~ Registra~on NO.: ~/~ <br />Residential: ~ New: <br />Go~erclal~ ~ [ A~rat~?n: <br /> <br />7 <br /> <br /> NO. FEE AMOUNT <br /> Base Price ' $20,00 <br /> = <br /> Residential ' <br /> New, construction (each fixture $ g,00 '" <br /> Alterations (each flxfure) 9.00 <br /> 'Reqocated Residence (each fixture) .,, 4.50 , <br /> Commercial ' ; <br /> ' New Const~c~ion (each fixture) 9,~ <br />Alterations each fixt?re) . 9.00' <br />...... For the first 10(:i feet or fraction thereof . ' <br />: For additional 100 feet 1. 5 00 <br />Sawer Sorvloe Lines <br />First 100 feet or fraciion thereof / 30.00 " <br />Additional 100 feet ' 15.00 <br />' Mobile Home $~wer~ater connection <br />(maximum 5 feet length) 25 <br />Other (as per OSPSC and Building Official <br />On.site Technical Review (apply at Marion C.ounty only) <br />Re- nspect on Fee 25,00 <br />STATE SURCHARGE <br />PLAN REVIEW FEE $ <br /> INVESTtGATION FEE $ <br />Please return COMPLETE APPLICATION . FLEETSURCHARGE $ ,.~. ~'~ <br />with the indicated fee. CITYFEE $ <br /> <br />..~ lamaregistarSdb~J derOR, )tneaulnol [eareDresentativeof SIGNATUREOFAPP <br />,' - a ~glsteredbu <br /> <br /> am oeff0rming wor~ on a p~3psrty I own or occupy <br /> <br />The work:will be Dedormed by a mgistere~ builder. <br />Other <br /> <br />to install ~of~lng to the submitted plans eno soecificahons, the laws of the state of Oregon en¢l the or~inancea of Marion County. <br /> <br /> <br />