Laserfiche WebLink
IFOR CITY VALIDATION <br /> Received b~: . <br /> Dat~: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> <br />COMMUNITY DEVELOPMENT CENTER <br />285 Church St NE · Room 132 <br /> Salem, iOR 97301 <br /> <br /> 2,4 Hr Inapocti0n Lia~ 588-7904 <br /> Off'~e; 58~5t47 '8:00 tan, - 4;30 p.m. <br /> FAX ::588-7948 <br />lPLUmBiNG PERMIT APPLICATION II <br />1. LOCATION OF INSTALLATION <br /> <br /> FOR OWNI~R INSTALLATIONS <br /> <br />Propoay Owocr (plonse primo <br /> <br />Mailing Addrcaa <br /> <br />City/Slate/Zip <br /> <br />Owner's Sisnatwe; <br /> <br />3, PLANRI~VI~W $]~CTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complet~ <br />Sectiou 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />MC 1.'~5 <br />R~'v.S/p5 <br /> <br />Issued by: <br /> <br />4. FI~ $CH~:~)ULIR (Complete and entel total ia Al below) <br /> <br /> RF~WENTIAL C] C OMMI~CIAL ~''~ <br /> USB 9F.~TRUCTURn: <br /> NISW~ALTERATION O ADDITION G{ RELOCATION r~ <br /> <br />RI~alDENTIAL (~ach fixtor~) <br />Aurora Dwelling Pinmbi~ <br /> <br />Single Family or m~ti-family <br />dwelling unit <br /> <br /> F~t 1~ it. or fmc~oa <br /> ~r oa. ad~l' I00 R, (up <br /> ~ximum of 5~ ~.) <br /> <br /> max~um of 5~ a,) <br />COMM~RCI~ (each <br /> <br /> Fint 1~ fl. or fraction ~f <br /> <br />S~nila~' &StOnn Lines <br /> Fimt 100 fi, or fraetinn thereof <br /> For addnl' 100 it. <br /> <br />OTHER (as req~ired by OSPSC · ~ad Builddgg Or'ciaO <br /> <br />DWE~INO PE~ L~EL <br /> <br /> Al, ~n~er mini offe~ fr~m S~. fi4 <br /> A~, Add 5% s~hat~ (.05 x Al) <br /> <br /> B, ~ 2~ of lin~ A 1 for Plan <br /> <br /> C, lnvestigat~n F¢~ (if~ui~a) <br /> D. R~impe~tioa Pea ($25.~) <br /> <br /> TOT~ ~OU~ DUE <br /> <br />~sq, fl, x'$.065 =., <br /> <br />$10.~0 <br />$I0.00 <br /> <br />$ 5.00 <br />$ 5,00 <br /> <br />$30.00 <br /> <br />$15.00 <br /> <br />$10.00 <br />$I0,00 <br />$ I0,00 <br /> <br />$15,00 <br /> <br />$30.00 <br /> <br />$15,00 <br /> <br />$4.50 <br />$10.00 <br /> <br />PERMIT NO: <br /> <br /> <br />