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Received By, , <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> Senator eldg,, No, 225 <br /> 220 High Stl~et NE <br /> Selem~ Oregon 97301 <br /> <br /> Phone 588-5147 <br /> Code-A4~hone 4:30 PM, - 8::00 A.M,, <br /> <br />PLUMBING PERMIT APPLICATION <br /> <br />Owner, ........ Phone:; Mailing Address:; <br />Job Address' ' ..... Site No :: Cross Street, <br /> <br />Plu~ing installer Phone:; ~ess" / <br /> <br />Residential' ~ ,, New:: '"~ Addition ~ OccupanCy I [~eofBui~dinm <br /> <br /> NO, FEE AMOUNT <br /> Sase Price $20 00 <br /> Resldeetiat <br /> New construction ~ach fixture} ~z~ $ 9.00 <br /> Alterations (each fixture} 9 00 <br /> ' '~e-located Residence (each fixture 450 <br /> Commercla~ <br /> New Construction (e~ch fixture) , , g00 ...... <br /> Alterations (each fixture) .... 9,00 <br /> Wate~ L'lnes <br /> For the first 100 feei"or fraction thereof ' ~0,00 <br /> For additional 100 feet 15oo <br /> Sewer Service Lines <br /> Fimt 100 feet or fraction ihereof 30,g0 <br /> Additional 100 feet 1 §,00 <br /> Mobile Home sewer~vatsr connection <br /> (ma,~,imum 5 feet length), 25 00 <br /> Other (as b~r OSPSC and Building Official) .... <br /> On-Site Tach n,i?al Review (apply at Mario.n. County only) <br /> R~e-lnspectlon Fee ..... 2500" <br /> ~EE $ ~'~.~,, <br /> STATE SURCHARGE .~. ~'~' <br /> PLAN REVIEW FEE "$ <br /> INVESTIGATION FEE $ <br />Please return COMPLETE APPLICATION FLEET SURCHARGE $ ,.~,~'~'~ <br />with the indicated fee, CITY FEE <br />TOTAL $ <br /> <br />( ) The worl< will be performed by a registered builder <br /> ) Other .... <br />( <br /> <br />MC 15-45 <br />Rev 12/87 <br /> <br /> <br />