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MARION COUNTY BUILDINGI <br /> sana~r BIcLg. No. 225 <br /> 220 High Street NE <br /> Salem, Oregon 97301 <br /> <br /> Phone,588-5147 , <br /> <br />PLUMBING PERMITAPPLICATION <br /> <br />rosa Street: <br /> <br />Residential:: [~ New: [] Addition: [] Occupancy <br />Cemme~o[a.l',', [] Alteration: ~ Relocation: [] Change: [] <br /> <br /> NO,, FEE AMOUNT <br /> Sase Price $2000 <br /> Residential <br /> ..... New c~,?tr~ion (cash fi×tufa} .... ~,~ $ g,0(~ ..... <br /> Alter,ations (each fixture) .... ,9,00 ...... <br /> Re-located Residence (each fixture) 4,§0 <br /> CommerCial <br /> New Constm. ction (each fixture.) 9,00 <br /> Alterations (each fixture) 9.00 <br /> wares'Lines ' '" , <br /> For the fimt IO0 teat or i'~action thereof 20,,00 ~'~ <br /> Foradditionail00feet 15;0b :,::r,~ ,,~,~ '. <br /> Sewer Service Lines ' ' ?' ' <br /> FlrstlOOfeetorfracfionthereof 30,,00 ~ ~; ,,;,.,4;,? '"' <br /> Additional 100 feet ,I S.00 , · <br /> Mobile Home sewerA~ater eonnec{ion ' '" <br /> (maXimum 5 feet length) .... ~$,,00 <br /> Other (as per OSPSC and Building Official) <br /> On-Site Technical Review (~'pply at Ma~ion County only) .... '"' <br /> Re-thspecti0n Fee ' ," 25.00 <br /> <br />STATE SURCHARGE <br />PLAN REVIEW FEE ~ ' <br />INVESTIGATION FEE` <br />Please return COMPLETE APPLICATION FLEET SURCHAF~GE $ <br />with the indicated fee. CITY,FE.E.¢ ' $ <br /> <br />( V~lam pedormlng WOrk on a property I own or occupy, <br />( ) lam~mgistemdbull~erOR( )theauthorizedrepm~ntati~of 81GNATUREOFAPPLIC~T', <br /> a registered bull~e~ <br />( ) ~ wo~ will ~ pe~fmod by a registered builde~ :. <br />( ) ~her I ' ' ' ] ' ' <br />( ~agme~ ns~a~mg~th~s~bm~dp~ns~ndspec~t~ns`thefaws~the~ta~f~m~nandth~m~n~s~fM~n~un~ <br /> <br />MC ~5.45 <br /> <br /> <br />