Laserfiche WebLink
/ <br /> <br />Application Received <br /> <br />Application Approved· <br /> <br />By_ <br /> <br /> Marion CounW <br />DEPT. OF BUILDING INSPECTION <br /> <br /> 31n0 CENTER STREET N.B. <br /> SALEM, OREGON 97301 . · , - <br /> 5gn.6147 <br /> <br />APPLICATION FOR PLUMBING PERMIT <br /> <br />Date <br /> <br />Bldg, Permlt <br />Plbg. Permit <br /> <br />NOTE: <br /> <br />Applicants must hold Oregon Registration to' ¢onduot a plumbing business [] or must. be property owner/operator not <br />hiring outside help []. Indicate status. <br /> <br />IPLUMBING <br /> SUStNE~ <br />ILICENSE NO. <br /> <br />HOME BUI'LDER$ <br />REGISTRATION NO. <br /> <br />Owner .~'~'~::~-~ ~/' ~~ddress ~ "': Phone <br /> <br />Plbg. Installer Address ' ' , ..... ' Phone <br /> <br /> ', , TYPE OF ~ERMIT ' , , ' ',' ', .., , NO. OFITEMs . FEE ON EACH TOTAL AMOUNT <br /> Base Price ....... · ..... $ 5.00 <br /> <br /> Kitchen Unit Inclu~e~ Water Heater .: , '. , $4.00 · · <br /> Bath Unit (half) .......... <br /> <br /> Miscellaneous F xtures ........ ' .. .' ...... $2,00 . <br /> With Plumbing Turn-around . ;,= ' : · ' ,- ' '.., $5.00 . <br /> Alterations & Additions , ,' .' ' '. ' , · <br /> <br />....To and including each protective der ce · . -, . . ... ,' . . . $2.00 · <br /> <br /> · OTAL AMOUNT ALL ITEMS 47'0 <br /> <br />I certify that all plumb ng work .will be done in' accordance with applicable provisions of Oregon Revised S~atutes Chapters 447 <br />and 69:3 and app~able codes, and that no. help will be employed unless licensed under ORS 693. <br /> / <br /> <br />Return Complete.Application With the Indicated Fee. <br /> <br /> <br />