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O F.B~U.!L~LEI3~ G INSPECTION <br />A l,,Reed: L I BING'PERMIT <br /> 220 High Street NE <br /> <br /> Will call for inspectionS? <br /> <br />Plbg, Permit NO, <br /> Date:: <br /> <br />Plbg, Installer Address Phone <br /> <br /> TYPE OF PERMIT NO; OF ITEMS FEE ON EACH :TOTAL AMOUNT <br />Base PrJq~ .... ' ................................ , .......... $10.00 <br />Residential <br />New Construction (ea'ch'iixture) ~" $ 7,50 ~0,, <br />Alto ra tl.o.n. ,s,,,{~ h fixture) ......... ?,5~ <br />Water M,,n,~ .......... <br />For the first 100 feet or fract!,q.n,,,.tll~,rffof ,,, 20,00 <br />For additlon.aL,!0o feet , .15.00 <br />Sewer Service, Lines <br />First 100 feet.or traction thereof : ' 30.00 <br />Additional 100 fee.~ ...... 15.00 <br />Commercial <br />New construcflq..n..(pach fixture) ......... 7,50 ........... <br />Alterations (each fixture) .............. 7.50 <br />Lawn Sprln,~(p,ng' System ................................. <br /> To and Includlnt~ .each protective device ........... 5,00 <br /> Please return complete applleatlen <br /> <br />I agree to perform work according to the submitted plans and specifications; the laws of~the Stats of Oregon and the <br />Ordinances of Marion County. Permit expires if work not commenced within 180 days. I further expressly warrant that I <br />COmply with the provisions of ORS 701.005 to 701.125 because: ' <br /> <br />I am a registered and licensed plumber or <br />The authorized representative of a registered and licensed plumblng~ontractor, <br /> <br />The work will be performed by a registered and licensed plumber <br />I am performing work on a property I own or occupy <br />Other (please specify) <br /> <br />SIGNATURE OF APPLICANT: .~.~~~' ~ Bldrs,, EIoard Re~, # <br /> <br /> <br />