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Permit - 1289520
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Permit - 1289520
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Last modified
4/19/2011 12:43:06 PM
Creation date
9/4/2003 9:37:54 AM
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Template:
Permits
Permit Address
530 CLESTER RD W
Permit City
Detroit
Permit Number
94-03780
Permit Type
Permit
Permit Doc Type
Permit Document
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Salem, Oregon97301 [~ - l~b~ -- <br /> .... Por~o <br /> -. Code-A-~oae: 585-7904 .~1~ ~0~ <br />[PLUMmNG PERM ' APPLI'CATION <br />, Please complete all Sections, I ~rough 5 Issued by: <br /> <br /> LOCATION OF INSTALLATION <br /> <br /> Y ....... / /' ' <br /> <br />~91~ I~ WO~ I~ ~OT ~TAR~D ~ 180 DAYS OF ISSUANCE IF WO~ IS SUSPENDED FOR 180 DAYS, <br /> <br />~A. CONTRACTOR INSTALLATION ONLY <br /> <br />Mailhg Address <br /> <br />2B. FOR OV~ NER INSTALLATIONS <br /> <br />'Ih* installation is being mage on p~operty 1 own~ is no/intended for sale, <br /> <br />Owners Sign^tn <br /> <br /> 3, PlAN RRVIEW SECTION <br /> <br />4. ~ SC}t[I~I)~E (Complete and enter total in Al bdow) <br /> [] sm mraz covnvmRO <br /> UsB OP STKU~ [~] <br /> <br />We will provide plan, review service if you complete Section <br />5B and submit two (2) sets of pla~s and specifications with <br />this application. <br /> <br />This optional plmu review program does not suspend the <br />required submission of plm~s, and specifications when required <br />by the Oregon Structural Specialty Code, Chapter 53. <br /> <br />Ll(.: 15-45 <br /> <br />Rev, 7/92 <br /> <br />BASE FEE $20.00 <br />A. I~SIDENTIAL <br /> <br /> Single Family or multi-Family per <br /> dwelling unit (each fixture) <br /> New construction -, $ g,00~ <br /> Alterations $ 9.00~, <br /> Re-located structure .,, $ 4,50~ <br /> <br /> Water Lines <br /> First 100 fr, or fraction thereof --. $20,00 _ <br /> For additional 100 fr. (up to <br /> maximum of 500 feet) $15,00. <br /> <br /> Sewer Lines <br /> Fk~t 100 feet et fraction thereof ~$30.00 , <br /> For additional 100 feet (up to <br /> maximum 500 f~e0 __.$15.00 .,, <br /> <br />B, COMMERCIAL (each fixture) <br /> <br /> New constmcti6n $ 9.00__ <br /> Alterations --$ 9.00 -- <br /> Re-located structure __$ 9.00 _ <br /> <br /> Water Lines <br /> First 1 O0 feet or fraction thereof --$20,00-,, <br /> Foraddifional 100 feet ~ $15,00 ~, <br /> <br /> Sewer Lines <br /> First 100 feet or fraction thereof ,,, $30.00_, <br /> For additional 100 feet __$15.00~, <br />c. srsrm <br /> Each protective b,¢lmow Oevice -'1 S ¢.SO__/~,,''ql'` <br />~. ~0'.~, ~R (as requited by OSPSC and <br /> uuilaing Official) <br /> <br />5. FEES Al. Enter total of fees from Sec, # <br /> A2, Add 5% surcharge (.05 x Al) <br /> <br /> Subtotal <br />B, Enter 25% ofllne A1 for Plan R~wiew <br /> C, (,25 x Al) if required ~ <br /> Investigation Fee (if required)/ <br /> <br /> <br />
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