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r MARION COUNTY . <br /> ' BUILDING INSPECT,ON D,VISION q~(~ 0~(~ ~ <br /> 3150 LANCASTER DR NE - SUITE C PERMIT NO: <br />FOR CTI'Y VAI_IDATIONJ SALEM OREGON 97305-1398 <br />R~iv~ b~ '" I ~ D~e: <br /> <br />PLUMBING pERM~ A~PLICA~ON I '--- 3 ~ ' <br />PI~e complete ~1 ~Eons, 1 through ~ ~ { v <br /> " ..~ R~~ ~ CO~CI~ <br /> <br />Pher~ <br /> <br /> APB NON-TRAN$ FI~RABL~ A.ND EXPIRE IF WORK I$ NOT <br /> STARTED WITHIN 180 DAYS OF ISSUANCE OR IF <br /> <br />co croR mst ,.AT OS <br /> <br />2,8. FOR OWNBR INSTALLATIONS <br />Pmw~ly Owner 0~/ea~ pNnt) <br /> <br />Address <br /> <br />RESIDENTIAL (ach i-~ture) <br /> maximum of <br /> <br /> $15.00 <br /> $30.00 <br /> <br />PROTECTIVE BACKFLOW DEVICE <br /> <br />Lawn vucuum b~'eaker (sprinkler system).__ <br />All o~hem <br /> <br />OTHER (as t~qeircd by OSPEC <br /> and flu~/#in~ OlEcial) <br /> <br />DWELL1 NO PER/vi IT LABEL # of Labels <br /> <br />5. F~ES <br /> <br />B, Entcr 25% of line A 1 Ibr Plan Review <br /> (Al ~ ~ <br /> <br /> TOTKL AMOtriX~T DUE <br /> <br /> <br />