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-- 08/01/96 09:$$ ~$0~ 888 79¢8 BLDG INSPECTION ~OOI <br /> <br /> CITY VA~.~ATION <br />R~ived by: <br /> <br />COM. MUNlq'Y D]~V~LOPlvL~¢~ C~IT~I~ [~ln. Mrf NO: ~ Z~5 Church St NE * Room 132 <br /> ~ OR 97301 <br /> <br />IPLUMBING PERMIT APPLICATION <br />Pi~O oomplete ~dl ~ot/ons, I through <br /> <br />L LOCATION OF IN~TALI-~.I~ON <br /> <br />STAI'I'~} ~ 1~ t}AYS OP i$$UANCE OR ~F <br /> <br />CONTRACTOR INSTALLATION ONLY <br /> <br />· n. I:OR OWNBR INS'rALJ.,ATIONS <br /> <br /> StO,O0 ~ <br />~ $ $.~0 <br /> <br />$15.00 ,.. <br /> <br />F~-addn{' 100 fi, <br /> <br />$ LO. O0 <br />$10,00 <br />$10,00 <br /> <br />$t$,~0 <br /> <br /> $15.00 ._ <br /> <br /> <br />