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· /~ ,. , x/~ ~ ,',~,J~,IARION COUNTY BUILDING INSPECTION <br />R"e~eived By;; ~ Senator Bldg.. No. 225 <br /> 220 High ~ NE <br /> ~lem, o~on 973m <br /> Phone ~8-5147 <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Own~ .... Phone;: IV~iling Address:: .... ~ ............. <br /> b ,d ./'a ............ <br /> ~ Site No ;; <br /> <br /> Plumbing Installer;:, Phone:: <br /> Home ~ull~er~ Registration No,,;; <br /> <br />Restde~tiai~ ~ New: ~ Addition:: ~ Occupancy Use ~ Building:: <br />, ,Commemial:; ~ Alteration;: ~ Rel~ation;; ~ Change:: ~ <br /> <br /> NO, FEE AMOUNT <br /> Sase Price $2000 <br /> Residential <br /> New const~ion (each fixture) $ 900 <br /> Alterations (each fixture) 900 <br /> Reqocated Residence each fixture 4.50 <br /> Commercial <br /> New Construction,,(each fixture) 9 00 <br /> Alterations each fixture 9,00 <br /> Water Lines ..... <br /> For the first 100 feet or fraction thereof / 2000 <br /> For additional 100 feet 1900 <br /> Sewer Service Lines <br /> First lOO feet or fra~!.!.~q.!.h.eraof / 30.00 ~-~. ~ .... <br /> Additional 100 feet 15 00 <br /> Mobile Home sewerh~vater connection <br /> (maximum 5 feet length) 2500 <br />Other (as per,,,,o.,~p$c and Building Official) .............. <br />On-Sife Technical Review (.._.~P~PIY at Marion County only) ........... <br />Re-Inspection Fee 2500 <br /> FEE $ .~'~ ~'~ <br /> STATE SURCHARGE <br /> PLAN REVIEW FEE $ <br /> INVESTIGATION FEE $ <br /> FLI~ET SURCHARGE $ <br />Please return COMPLETE APPLICATION <br />with the indicated fee. c1~¢ FEE "~ <br />TOTAL <br /> <br />larnaregisteredbulJderOR( )theauthodzedmpresentativeof <br /> <br />The work will bo pedormed by a registered bulldog. <br />Other. <br />l agmetolnstallac~ordlngtothesubmJsedplansan~specifications, the laws ofthestateofOregon~ndtheordinancesofMarlo~County, <br /> <br />MC 1.5-45 <br />Rev 1~/87 <br /> <br /> <br />