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Application Received <br /> <br />Date , ..... <br /> <br />Applicatlon Approved <br /> <br /> Marion County <br /> <br />DEPT. OF BUILDING INSPECTION <br /> <br /> 220 HIGH ST,, N,, E,, <br /> SALEM, OREGON 97:301 <br /> <br />APPLICATION FOR PLUMBING PERMIT <br /> <br />BIdg, Permlt ~ <br /> <br />NOTE: Applicants must hold Oregon Registration to conduct a plumbing business [] or must be property owner/operator not <br /> hiring outaJde help [~}. Indicate status. <br /> <br />PLUM~iNG <br /> BUSINESS <br />ILICENSE NO. <br /> <br /> , <br />Plbg, lnstaller~L,~) ~' j,,.,..,,' , ,Address~/~ ~. I~ -- -~',.1~./~. Phone <br /> <br />'F~ase Price .... ' .... , ...... '"'~ 500 <br />Residential <br /> <br /> ~ath.,.Unit (full) .... $~,00 <br /> , Bath Unit (half) ........ $3.00 ..... <br /> Laundry..,Unit ............. $-3.00 ...... <br />M!?.cellaneous Fix~u. r.es ......... $2.00 <br />S~ewer Servi¢~ .L!ne , ,, $,3,,00 <br />With ~!um.~blng Turmarqu. nd ........ $5,00 . <br />Commercial <br />"i"to 50 Fixtures'" , ...... ' ........ , ...... ~ .... $2.00 aa." ! '~..(~ <br />Over B0 Fixtures $1,00 <br />Alterations & Addltio~'~ ..................... <br />"'Charge~ ,at Commercial Rates ........... ' ' , . _ ' ...... <br />Lawn Sprinkling System <br />To an..d including each pro,t,~ctive devi'ce .... $2,,00 <br /> <br /> SURCHARGE <br /> GRAND TOTAL I <br /> <br />I certify that all plumbing work will be done in accordance with applicable provisions of Oregon 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 />