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[ FOR CITY USE ONLY MARION COUNTY BUILDING [ReeeivedB ,: __Z' ~ CO DEVELOP NTC TER [Zo~ng Valiafon: R-~ Sal~ Oregon 97301 8:0~m~:~pm Phone ~147 24 hr. Inspe~on L~e ~7~4 r~ ss~7~s 2. CONTRACTOR INFORMATION Auth. AgemdLeasee 3. FEES ** F~s inolude DEQ Surcharge ($30.00) Site Evaluation, Single Family Dwe ng, first ot ......................... / $320 00 Site Evaluation, Single Family Dwelling, ea add[ lot .................................................. 235 00 Site Evaluatio~ Commercial, first 1000 gallons ........................................................................................................... 320.00 SiteEvaluat on, Commerc al 1000- 5000 gallons ...................................................................................320.00+$90/$0~/gel + $100/500 gallons Site Evaluation, Rural Area Variance ................................................. 320 00 Construction Permit or Comme~ial Major Repair, first 1000 gallons: Standard System ................................................................................................................................. 382.00 .4~robi¢ System ................................................................................................................................. 218.00 Capping Fill System ........................................................................................................................... 593~0~ Cesspool .............~ ............................................................................................................................... 382.00 Disposal Trench in Saprolite .............................................................................................................. 382.00 Evapottanspiration-Absorpt on System ............................ 218 00 Gray Water Disposal Sump ............................................................................................................... 190.00 Pressure Disffibution System ............................................................................................................. 553.00 Redundant System ............................................................................................................................. 382.00 Sand Filter System ............................................................................................................................. 703.00 Seepage Pit ......................................................................................................................................... 312.00 Seepage Trench .................................................................................................................................. 382.00 Steep Sinpe ......................................................................................................................................... 382.00 Tile Dewatering System ..................................................................................................................... 550.00 Construction Permit or Commercial Major Repair, over 1000 gallons: Construction Permit Fee + $25/500 gallons Commercial Plan Review 600 gallons - 1000 gallons ............................................................................................................... 133.00 1000 gallons - 2500 galhins ............................................................................................................... 133.00 + $25/500 gallons Commercial Minor Repair ............................................................................................................................................... 173.00 Single Family Dwelling, Minor Repair (tank only) ......................................................................................................... 130.00 Single Family Dwelling, Major Repair (dralnfiald) ........................................................................................................ 210.00 Residential or Commercial: Alterations .......................................................................................................................................... 378.00 Pennit Renewal, Field Visit ............................................................................................................... 227.00 Permit Renewal, No Field Visit ......................................................................................................... 115.00 Authorization Field V s t ..................................... 247 00 Authorization No Fie d V s t ......................... l 17 00 Existing System Evaluation ............................................................................................................... 247.00 Annual Evaluation/Alternative System .............................................................................................. 247.00 Annual Evaluation Temporavj/I-Iardship Mobile Home .................................................................... 183.00 Annual Evaluation, Large System ..................................................................................................... 123.00 Pump or Dosing Siphon ....................................................................................................................... 25.00 Pumpe~ Track Inspection, First Vehicle ............................................................................................................................ 67.00 Pumper Truck Inspection, Ea Additional Vehicle ............................................................................................................. 40.00 Septic Reinepection Fee ...................................................................................................................................... 25 00 Septic Inspection for which no fee is specifically indicated ............................................... 40.00/hr Name of Applicant (Pleose Prlnt): LES.,,' /~d~ ff ~ V MC 15'S1 RevS/9$ ~'- ' ~' Or. t ' / V Test Holes Ready: ~ Pumping Certification Attached: