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["i6R {~IT¥ VALIDATION <br /> <br />MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br />285 Church St ,-NE · Room 132 <br /> Salem. OR 97301 <br /> <br /> PLUMBING PERMIT APPLICATION <br />. P/ease complete at/Sections, I through <br /> <br />1. LOCATION Ola INSTALLATION <br /> <br />PERMrrs A Ri[ NON-TRANSF~R.A BLI~ AND I~?IRE 1P WORX IS NOT { <br /> STARTED WrrHIN 180 DAYS OF ISSUANCE OR IF <br /> <br />CONTRACTOR 12qST.~r r &TION ONLY <br /> <br />Ptumbi~ ltoatd: <br /> <br />Comr~clor'e ~os~ Re{{. No. <br />loumcymsz~'s Plumbcm'a No, <br /> <br /> FOR OWNIlR INSTALLATIONS <br /> <br />........... , ,_.~., ,,,.Iq ¢)0- ~-Y <br /> <br /> r r) r a , .... <br /> <br />PERMIT NO: <br /> <br />Dalo: <br /> <br />Issued by: <br /> <br /> No. X F~ = ~um <br />BA~E FEB <br /> <br />RESIDENTIAL (oath <br /> .,9 <br /> Aunaa Dweilin{ Plumbi~ F~ <br /> <br />Fcst IIX) tl, ur fm,aion th~r,~f S20.00 ~ <br />~t el. ad'i'd' 100IL (uplo <br />max~.u~n of 5(30 f~.) S 15.00 __ <br /> <br />SlO.O0 <br />$1o.0o <br />$1o.00 <br /> <br />ma~imum of ~O ft.) <br /> <br /> . <br /> <br />$15,00 <br /> <br />S30.00 <br /> <br />S &50 <br />S IO.OU <br /> <br />OTHER ,'a* r~quiredbyOSPSC <br /> and ,~dding <br /> <br />DWELLING PERMIT LABEL · of <br /> <br />NIC <br /> <br />3. PLAN RItVIltW SECTION <br /> <br />Marion County does not require a plan review. <br />We will provide plan review service if you complete <br />Section 5B and submit two (2) sets of plans and <br />specifications with this application. <br /> <br />15..45 <br /> <br />gO 'd <br /> <br />5. Fr~E$ <br /> <br /> <br />