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~ ~ ~ MARION COUNTY wi. :~. fo,~.=Pootion ? <br /> t~'~ ~ ~ ~DEPT. OF ULD INSPECTION <br />Ap~ [~ .... ~ PLUMBING 'PERMIT m~e. Permit No. 85-270 <br /> <br /> Sal~ Oregon ST~ 20040 <br />By: ~¥[,~1~0[~ ~00~¥ Ph: S8~-~14~ Plbg, Permit No, <br /> <br />o.t.: ~~$PECI~?~85 Date: 4/1/85 <br /> <br />Address: .... ~..0772 Le~erman' St. Aumsville' ' Sec. 'rwnshp, Rge. <br /> <br />Owner:· ~. K* I~sb~c~ ' Phone: 588-81~ Address: ' " ' ' <br /> <br />PIDg. Installer Beskow. ..... Plb~. Address 810 $hlPl)z~E St. ~ Phone <br /> <br />............ "O. I+E~$ ..... TOTAL AMOUNT <br />..... ' ' " ' FEE ON EACH <br />TYPE OF PERMIT, OF <br />Base Price ' $10,00 <br />Residential "', .... : · , <br />$ ?.$0 <br />New Constructl0n'(each fixture) <br />Alterations (each fixture) ; ..... 1 <br />Water Lines <br />20..00 <br />For the first 100 feet or fraction thereof ' , ..... . <br />1 <br />ora <br />F dditional 100 feet, , , 5.00 <br />Sewer Service Lines: i , ' <br /> First 100 feet,or fraction thereof ' '30.00 ' <br />Additional 100 feet , 15.00 · <br />Commercial <br /> New construction (each fixture) ' , ' 7~50 . <br />Alterations (each fixture) . <br /> ,, 7.50 .... <br />Lawn Sprlnklln~ System <br />o an cl ding five ce <br /> ' T d Jn u each protec devl " . ' ,5.00 <br /> ' Please return complete appllcatioe~ <br /> with the Indl~cated fee. . ~ ~'~.~-~-~" ,~../'/ BURCHARG E (4%) ~. O0 <br /> · 'J~ ' ' ' TOTAL ' ' <br /> ~. ~,.. ~~]' ~ o4. co <br /> <br /> / <br />I agree to perform work according to the ted specification, s,,the laws of the State of Oregon and the <br />Ordinances of Marion County. P~rmjt expires if work not commenced wR'hin 180 days. I further expressly w~rrant that I <br />COmply with the provJsi0i~s Of ORS 701.005 to 701JI25'be6ause': ' ' ' <br /> <br />( ) I am a registered and licensed plumber or <br />( ~ ) The' authorized representative of a registered and licensed'plumbi'ng contraDtor, <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 />Bldrs, Beard Reg.= 4-/'?/ f <br /> <br /> <br />