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Ap@lication Received <br /> <br />Date <br /> <br /> ~/larion County <br /> <br /> DEPT. OF BUILDING INSPECTION <br /> <br /> .~318u. Cl~ NTE I~S~R EET <br /> <br />APPLICATION FOR PLUMBING PERMIT <br /> <br />mdg. Permit# <br /> <br />NOTE: Applicants· must hold O~egon'Registratio~ te.'conduc~a .plumbing business'[-~ or.must be property owner/operator not <br /> hiring putside help []: Indicate .status: <br /> <br />HOME BUI [;DE RS. <br />REG ST:RAT ON NO, <br /> <br />Job Address <br /> <br /> Phone <br /> <br /> ~,~ ' address.~ ' ~ <br />. Plbg Insta ler ~"~/'~'~//_ ' ~"g2~- ~'~f~ ..... ~-~ ~z'~;~''/'-'_ Phone <br /> <br />' ' : ' '. NO.' TEM~' FEE ON CH TOTAL AMOUNT <br />.... TYPE OF"PERMIT EA <br />Sase Price . . ~ OF I <br />,, $ §.0o <br />Residential · , · , '.' -- <br />· Kitchen Unit Incl,desWater Heater ' . ' ' ' ' ' .' / $4.00 <br />Bath Unit (full)· ,~ $5.00 ' <br />Laundry Unit · , .-' .... / · · $3.00 · <br /> Miscellaneous Fixtures ', , ' $2.00 <br />Sewer Service Line · . '. , . ' , '$3.00 '"' ' <br />. With Plumbing Turn-around ' '.. · . '. ' , ' $5.00 ' ' <br />, I to 50 Fixtures , , ~ , ' ........ ,~ '$2.00,ea; " <br />, Alterations & Additions ', .., , . r, , <br />Charged' at Commerca Rates ....... " <br />, Lawn Sprinkling System · '. · ,' ' <br />'To and in~u~i;l~'--ea'~:h protective device · ' <br />· , ' OTA[. cMOUNT ALL I'TEMS, <br />..... GRAND,TOTAL · <br /> <br />I certify that all plumbing work will be <br />and 693. and applicable codes, and that <br /> <br />r ,ORS 693. <br /> <br />R.e.t..u.m. Complete Application ·With the Indicated' Fee, <br /> <br />Chepte~ 447 <br /> <br /> <br />