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MARION COUNTY BUILDING INSPECTION <br /> <br /> Phone ~8.5147 <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br /> Phe'ne:: <br /> M~ling <br /> AddresS': <br /> <br />Job ~ddmss;; Site No :: Cross ~treet: <br />Home ~uilder~ Registration NO,,;; <br /> <br /> NO.. FEE AMOUNT <br /> Base Price $20,00 <br /> Residential ........ <br /> New ~truction (each fixture) $ 9.00 <br /> <br />.......... Alterations (each..!!.xtute) ..... 900 <br /> Fie-located Flesiderl.~e (each fixture) 450 <br /> Oommemial <br /> <br /> ...... .New Construction each fixture) 9.00 <br /> <br />Alterations (eac~ fi~:[um) 9.00 <br />Water Lines <br />............ For the tirst 1 O0 feet or fraction'ihere0~ <br />For additional 100 feet 15oo <br />Sower So.ice Linea <br />First 100 foci'or fraction thereof .... <br />Additional 100 feet 15.00 ....... <br />Mobile Home sewar/A, ater connection ..... <br />maximum 5 feet length) 25.00 <br />Other as per OSPSC and Building Official) <br />On-Site Technica!. Review apply at Marion County only) ...... <br />Re-Inspection Fee 2500 <br /> <br /> STATE SURCHARGE ,_~, ,,,.~-_~_~_ <br /> PLAN REVtEW FEE $ <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ <br />with the indicated fee, <br />TOTAL <br /> <br />amaregisteredbullderOR( )theauthorizedrepresentatlveot SIGNATUREOFAPP~///~ , <br />a registered builde~ ~.~ <br />The work will be performed by a registered b~ildar <br />Other <br />I agreeto install acoo~din9 to the submitted plans and speoifications, the I~ws of the state of Oregot3 and the ordinances of Marion Courlty <br /> <br />MC 15-¢5 <br />Re~ 12f87 <br /> <br /> <br />