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MARION COUIYrY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br />285 Church St NE · Room 132 <br /> Salem, OR 97301 <br /> <br /> 24 hr. hspectlon Li~e 373-4427 <br />O~ce: Phone 588-5147 8:00am - 4:30pm <br />FAX: 588-7948 <br /> <br />IPLUMBING PERMIT APPLICATION <br />Please complete all Sections, I through <br /> <br />1. LOCATION OF INSTALLATION <br /> <br />I PERMITS AR~ NON-TRANSFeRABLE AND EXPIRE IF WORK IS NOT I <br /> STARTED W1TH]N 1 ~0 DAYS OF ISSUKNC~ OR IF <br /> I <br /> WORK IS SUSPF~IDED FOR 180 DAYS. <br /> <br />2A. CONTKACTOR INSTALLATION ONLY <br /> <br />~ili~ A~a ~ ~ <br /> <br />Plumbing Board: <br /> <br />Date: <br /> <br />MARION COUNTY <br /> <br /> ~ X Fee = Sum <br />BASE FEE $20.00 <br /> <br />RI~IDENTIAL (each fixture) <br /> <br />Single Family or mulii-family per <br />dwelling unit <br />New construction $10,00 __ <br />Alteratiorm $10.00 -- <br /> <br /> Reloealed Structuro $ $.00 <br /> Modular Structure $ 5.00 -- <br /> <br />Water Lima <br />First I00 ft. or fraction thexeof $20.00 <br />For ea. add~i' 100 fl. (up to <br />m~imum of $00 ft.) $15.00 -- <br /> <br />Sanitary & Storm Lin~a <br />Firat 100 fi. or fraction thereof $30.00 <br />For ~ddnl' 100 fi. (up to <br />maximum of ~ ft.) $15.00 -- <br /> <br />COMMBRCIAL (~ch fixture) <br /> <br /> New con~tzuction $10.00 <br /> Alteralion~ $10.00 -- <br /> R~conncct $10.00 -- <br /> <br />Water L~n~s <br /> F~t I00 ft. or fraction ~hereof <br /> F~r ea. addnl' 100 <br /> <br />Sanitary & Storm lancz <br /> Firat 100 fl. or fraclion ~hcreof <br /> For addnl' 100 fi, <br /> <br />$15.00 <br /> <br />$30.00 -- <br /> <br />$15.00 <br /> <br />PROTECTIVE BACK,LOW DRViCR <br />Lawn vacuum breaker (sprinkler system)__ $ 4.50 -- <br />All others $I0.00 -- <br /> <br />OTHr~R (as required by OSP~C <br /> and Buildd~ O~eiaO <br /> <br />DWELLINO I~RMIT LABEL # of Labob <br /> <br />3. PLANRBVIEW SECTION <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. 1/96 <br /> <br />5. FEES -. · <br />Al. Entec total of fooa from Sec, ~4 <br />~. Add 5% smha~ (.03 x Al) $~ ' ' . <br /> ~bt~al $ <br /> <br /> B. ~r25% ordeal forPl~Review <br /> (Al + ~5), ~u~ $ <br /> C. ~v~figa~ Fee (if~d) <br /> D. Re.pectin ~ ($25.~) <br /> <br /> ~T~ ~O~ D~ <br /> R~eipt No. <br /> <br /> <br />