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Appilcation Received <br /> <br />Appllcatlon Approved <br /> <br /> Marion County <br /> <br />DEPT, OF BUILDING INSPECTION <br /> <br /> 3180 CENTER STREET N,E, <br /> SALEM, OREGON 973(31 <br /> 5S8-5147 <br /> <br />APPLICATION FOR PLUMBING PERMIT <br /> <br />SJdg, Permit <br /> <br />Plbg. Permit <br /> <br />Permit Fee <br /> <br />NOTE: Applicants muSt hold Oregon Registration to conduct a plumbing business [] or must be property owner/operator not <br /> hiring outside help I-'1. Indicate status. <br /> <br />Job Address <br /> <br /> . , _ . <br />P, g.,nsta,,er Address ' . Phone <br /> <br /> TYPI~ OF PERMIT NO, OF ITEMS FEE ON EACH $ 5.00 <br />Base Price <br />Residential ". . <br /> Kitchen Unit Includes ~ater Heat~ ....... $4.00 ' <br /> Bath Unit (full) ~5'00 <br /> Bath Unit (half) ....... $3.00 . <br /> L--sundry Unit ....... "' ' $3,00 ,,~t ~' <br />Miscellaneous Fixtures $2 00 <br />Commercial " <br />1 to 50 Fixtures $2,00 ea. '' <br />Over 50 Fixture's ......... , $1.00.ea. : <br />Alterations & Additions . <br />Lawn S~prinkling System ...... ~ ' "~ ' <br />T~.and including each proteCtive deyic9, · , $2.00, ' <br />TOTAL AMOUNT ALL ITEMS . . <br />SURCHARGE ; ~ - <br />GRAND ToT~L-~/-:"~,/S¢'' .,~ ~l r~ <br /> <br />I certify that all plumbing work wig be done in accordance with applicable provisions"of,,Or~lon Revised Statutes Chapters 447 <br />and 693 and applicable codes, and that no help will be employed unle~ licensed under' ORS 693. <br /> <br /> Return Complete Application With the Indicated Fee. <br /> <br /> <br />