ApplicationRece red
<br />Date
<br />
<br />Application Approved '
<br />
<br /> Marion C
<br />DEPT; OF BUILDING
<br />
<br /> 220'HIGH ST, N. E,
<br /> ~;AL'EM, OREGON.97301
<br /> 588-5147
<br />
<br />NOTE: Applicants must hold;.Orego,n,:RegiStra~ti.o,B, to
<br /> hiring outside help [].' indieate~.et~cb~:' .....
<br />
<br /> PLUMBIN~
<br /> BUSINESS
<br />
<br />Job Address
<br />
<br />Plbg.
<br />
<br />Phone.
<br />
<br /> i " TYPE OF PERMIT" '" , ' ' · : ~ ' .:NO.:.0F'IT,E,M$ "FEE'ON EACH T, OTAL AMOUNT
<br /> Base~rce · , ........ ' ~' ' '. "..' ',,'.~
<br /> , , - ....... ;...:, , · ,,'"" $' 5..,.0o
<br /> Residential · . ',, ,~, , ...... ', . .., ',' .,. ... , , ........ .
<br /> it V~t~ Heater '" 'r-",.... , . .... ~. $4.00 .
<br /> Kitchen Uri nc udes r : ' .', '" .', ' , ' ': '
<br /> ....... ~ :' ........ .':,. ', $5.00 ,
<br /> Bath Unit (full) ' ' ' '.- ~' " · ·
<br /> " ' , ,
<br /> Bath Unit (half)' . .' ....... ,, ,,., ,. , ~ . , -,. ' ' '
<br /> Laundry Un t' ' ' · , ' -,, ',"' .-'.,' '" :'"" . ' ', ' - ' .,! ',. ,'"': :., -:'... ~ ~3.0D '
<br /> Miscellaneous Fixtures " ' ' ' "' ' :" . ', ,. "'" $2.00 ....
<br />Sewer ~rvice Line ' · .... ,',, · ~ , ', :.,:<. ~t,, .,:,'.,.~,, ,.. ; ' .'.'. ..:,.$3,0.0 ' '. '.:',. ',
<br />With lumbmgl~urn-around ,, ,~, - ,' "; · ' ' "'.. · ..... .... ., , '. $500 .-, ' ·
<br />Commercial" , .... ,:,, .... , ,': . . . , , . . r' ..,,. ,.... , . ·
<br />1 toS0 Fixtures ' ' .~, ' ,': ..... :,~..,, -,, .......... ;, ,,.. , ....
<br />~ '~ ........... ' '.'"$2:00 ea,.
<br />Over 50Fxtures · ' ~ ' ~.:
<br />,. , , ......... ~ ....... /,~ ~. "· ",$:i.00'ea. '
<br />Atoratons&Addton$ ..... ; .~ ' ,,? -.,' ,, '; . ,':~:"'... '..,:",, ,. ,.'"..,,, .',,.,.,, , ,,.,.~,.,.,',", , ..':,,.,' .. .,, . ,,
<br />Charged"a( Commercial Rat~'s' ' "'"'" ...... ' ..... ' "~"r ........... "'~''''' "~::" ..... - ' ' '- "'"'~ .................... '
<br />.. LawnSprn¢ ngSystem ', .... ~ , . ,
<br />oand,ncudngeachprotectvedevce ' , . · ~ .,T". , . i .... , ,$2.00 ,
<br />· . . :. , , ' ,.:;. · '"'.,L' .>..~., .' · ~,.~ ,:
<br />', . .',.,, , ,. .,, .,.',, ",,, :' ., . ',,:'. ,.'- ¢'
<br />
<br />I certify that all plumbing work will be (
<br />and 69;~ and applicable codes,
<br />
<br />pters ~7]
<br />
<br />I'"c~iCa~ed'":Fee:
<br />
<br />
<br />
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