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COMMUNITY DEVELOPMENT CE~ I ~,.',,~, ~ .'7_ '- <br />F 28.5 Church St NE · Room <br />OR CITY Vd LIDAIION/ <br />Re~eived by:~-~s~. Salem, OR 97301 <br /> Otb-0ta3q I o..: <br />PLUMBINO PEFIMIT APPUOATION <br />Please complete all Sections, I through 5 <br /> <br />1. LOCATION OF INST~,LI.&TION <br /> <br />PERMITS ARE NON-TRANSFERABLE AND EXPIRE IF WORK IS NOT <br />STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> WORK IS SUS PI~NDED FOR 180 DAYS. <br /> <br /> CONTRACTOR INSTALLATION ONLY <br /> <br />Plumbi~ Board: <br /> <br />~ou*n~man's Plum~ No, <br /> <br />liB. FOR OWNtlR INSTALLATIONS <br /> <br />Property Ow~r (pl~se prlnt) <br />M~iliag Addrms r <br /> <br />~tyis~p <br /> <br />A~t's S~: <br /> <br />3. PLAN ~W SBCTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />MC 15-45 <br />Rev. 1D6 <br /> <br />4. FBB 8CHNDULB (Compl*~ ~md ent~ total in Al below) <br /> RESIDBHTIAL ~ COMMBRCIAL m <br /> ?/si ucro : <br /> NEW ~' ALTERATION = ADDITION = RELOCATION <br /> <br />BAS~ FEE ~0.00 <br /> <br />RESIDENTIAL (each f~xture) <br /> Aurora Dwelllng Plumbing Fee __sq. ft. x $.070 =__ <br /> <br />Single Family or multi-family per <br />dwelling unit <br />New construction ~ $10.00 ~.t~. ~ <br /> Alterations $10.00 -- <br /> Reconnect $ 5.~ -- <br /> Re~a~d S~ $ 5.~ -- <br /> Mo&qar Structure $ 5.~ -- <br /> <br /> Fint 100 fl. or fraction thereof I $20.00 <br /> For ea. addnl' 100 It. (up to <br /> mnximum of 500 fl.) $15.00 <br /> <br />Sanitary & Storm Lin~ <br />Firat 100 fi, or fr~ction thereof ~ $30.00 <br />For addal' 100 fi. (up ~ <br />maximum of $00 fi.) SIS.00 <br /> <br />COMMIIRCIAL (each fLxturo) <br /> <br /> New ~:omtm~tion $10.00 <br /> Altex~tiom -- $10.00 <br /> Roconne~t $10.00 <br /> <br /> Fimt 100 fi. or fraction ~hcreof ~ $25.00 <br /> For Ca. addnl' 100fi. <br /> <br />$15.~ -- <br /> <br />S~ & Storm ~ <br />Pi~t 100 ft. or fraction thereof $30.00 <br />For ad~l' 100 fl. <br /> <br />$15.00 <br /> <br />Lawn vacumn breaker (apdnkler system)__ $ 4.50 <br />AIl oth~Is $10.00 <br /> <br />OTHBR (~sr~q~byOSP~ <br /> and BmTdin~ O~eiaO <br /> <br />DWELLING PERMIT LABBL # of Labels <br /> <br /> <br />