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Appllcadon Received <br />Date <br /> <br /> Marion County <br /> <br />DEPT. OF BUILDING INSPECTION <br /> <br /> 220 HIGH ST. N, E. <br /> SALEM, OREGON 97301 <br /> 558-5147 <br /> <br />Appllcatl 0 ~p~ved L,,~/~' <br />By --/ ~. APPLICATION EOR PLUMBING PERMIT <br /> <br />Date <br /> <br />NOTE: Applicants must ho]d Oregon Registration to conduct a plumbing business [] or must be property owner/operator not <br /> hiring outside help [~], Indicate status. <br /> <br />PLUMBING <br />~USINESS <br />LICENSE NO. <br /> <br />Job Address <br /> <br /> Otto Horvath 256--4771 <br />Owner <br /> <br />Plbg. Installer <br /> <br />AdC 'ess Phone <br />Address Phone <br /> <br />Box 644 Canby <br /> <br /> TYPE OF PERMIT NO. OF ITEMS FEE ON EACH TOTAL AMOUNT <br />Base Price .... $ 5.~)0 <br />Residential <br /> · Kitchen Unit 'includes Water Heater ' / $4.00 " Z./*(~0 <br /> B?h Unit (full) ~ $5·00 / L'~- ~ 0 <br /> Bath Unit (half) .....O. $;3.00 <br /> Laundry Unit / $3.00 ~.~ .0 ~ <br />M. iscellaneous Fix.tufas . . . $2.0(~ .., <br />Sewer Service Line $3.00 <br />With Plumbing Tu'rn-around ...... $5,00 <br />Commercial <br />I ~o 50 F.,ixtures . , . $2·00 ea , <br />Over 50 Fixtures .. , $1,.00 ea. <br />Alterations & Additions <br />Charg;~l at Com.mercial Rates , , "' <br />Lawn Sprinkling System ,. / <br />To and .inctuding e~ch protective device ,I $2,00 <br />TOTAL AMOUNT ALL ITEMS ~... ~ <br />SURCHARGE ~Cb/F <br /> <br />I certify that ali plumbim,~ work will be done i~ accordance with applicable provisions of Oreson Revised Stetote$ Chapters <br />and 693 and applicable codes, and that no help will be employed unless licenmd under ORS 693, <br /> <br /> Return Complete Application With the Indicated Fee. <br /> <br /> <br />