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l)FO~R:CPI'Y USE ONLY <br />l~eived By: __ <br /> Zoning Validation: <br /> <br />MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMEN? C[NTER <br /> ]150 L~ncast~ Dr. NE ~ Suite C <br /> Salem, Ore,on g7305 <br /> 8:gOam.4:30pm Phone Sg~-$147 <br /> 24 hr. Inspection Line 3"/3-44~7 <br /> FAX 51~.7948 <br /> <br />1. LOCATIQ ~l OF INSTALLATION <br /> <br />2. CONTRACTOR INFORMATION <br /> <br />Mailing Address <br /> <br />Phone <br /> <br />Phone <br /> <br />Phone <br /> <br />3. FEES <br /> <br /> Site Evaluation, Single Family Dwelling, first 1o¢ .............. tfJk~.~.~ ][.{~-g~( ...................................................... ~.$320.00 <br /> Site Evaluation. Single Family Dwelling. ua addi lot ...................................................................................................... 235.00 <br /> Sim Evaluation, ~ial, fi~st 1000 gallons ............................................................................................................. 320.00 <br /> Site Evaluation, C~ial 1000 - $000 gallons .................................................................................... 320.00 + $90/500/gal <br /> Site Evaluation, Rural Area Variau~u .............................................................................................................................. 320.00 <br /> Construction Permit or Commercial Major Repair, first 1000 gallons: <br /> StandaM System ................................................................................................................................. 382.00 <br /> Aerobic System .................................................................................................................................. 218.00 <br /> Capping Fill System ........................................................................................................................... $93.00 <br /> Cesspool ............................................................................................................................................. 382.00 <br /> Disposal Trench iR Saprolite .............................................................................................................. 382.00 <br /> Evapetruaspiration-Ab~o~ption System ............................................................................................. 218.00 <br /> C_way Water Disp~al Sump ............................................................................................................... 190.00 <br /> Pressme Distribution System ............................................................................................................. 550.00 <br /> Redundant System ............................................................................................................................. 382.00 <br /> Sand Filter System ............................................................................................................................. 703.00 <br /> Seepage Fit ......................................................................................................................................... 312.00 <br /> Seepage Trench .................................................................................................................................. 382.00 <br /> Steep Slope ......................................................................................................................................... 382.00 <br /> Tile Dewatering System ..................................................................................................................... 550.00 <br /> Construction Perm/t or Commercial Major Repair, over 1000 gallons: <br /> Construction Permit Fee <br /> Conm~er~ufl Plan Review <br /> 600 gallons - 1000 gallons ............................................................................................................... 133.00 <br /> 10~0 gallons - 2500 gallons ............................................................................................................... 133.00 <br /> Commercial Minor Repair ............................................................................................................................................... 173.00 <br /> Single Family Dwelling, Minor Repair (tank only) ......................................................................................................... 130.00 <br /> Single Family Dwelling, Major Repair (drairdleld) ........................................................................................................ 210.00 <br /> Residential or Comme~ial: <br /> Alterations .......................................................................................................................................... 378.00 <br /> Permit Renewal, Field Visit ............................................................................................................... 227 .iX) <br /> Permit Renewal, No Field Visit ......................................................................................................... 115.00 <br /> Audiodzation, Field Visit .................................................................................................................. 247.00 <br /> Authorization, No Field Visit ............................................................................................................ 117.00 <br /> Exist/ag System Evaluation ............................................................................................................... 247./30 <br /> Annual l~valuatiua/Altemafive System .............................................................................................. ?A7.00 <br /> Annual Evaluation Temporal/Hardship Mobile Home .................................................................... I g3.00 <br /> Annual Evaluation, Large System ..................................................................................................... 123.00 <br /> Pomp or Dozing Siphon ....................................................................................................................... 25.00 <br /> Pumper Track Inspection, F/rst Veh/cle ............................................................................................................................ 67.00 <br /> Pumper Truck Inspection, Ea Additional Vehlale ............................................................................................................. 40.00 <br /> Sept/c Reinspec6on PU~ ..................................................................................................................................................... 25.00 <br /> Septic Inspection for wh/ch no fee is specifically indicated .............................................................................................. 40.00/hr <br /> <br />$100/500 gallons <br /> <br />+ $25/500 gallons <br /> <br />+ $25/500 gallons <br /> <br />Test Holes Ready: ] <br /> <br />Tank Pumped: <br /> <br />Pumping Certification Attached: (Y) (N) <br /> <br /> <br />