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Application Received <br /> <br />ADglicetion Approved <br /> <br />BV <br /> <br /> Marion County <br /> <br />DEPT. OF BUILDING INSPECTION <br />31810 CENTER STREET N.E, <br /> SALEM, OREGON 97301 <br /> 588'-~;1'47 .... <br /> <br />APPLICATION FOR PLUMBING PERMIT <br /> <br />Bldg, Permit <br />Plbg. Permit <br /> <br />78-2463 <br /> <br />./~'b-7~ <br /> <br />NOTE; Applicants must hold. Oregon Reg strut on to conduct a plumbing business []'or. must be property owner/operator not <br /> hiring outside help ~1. Indicate statds. <br /> <br />I~L[JMBING <br />lOUSINESS <br /> <br />' HOME BUILDERS <br /> IREGISTRATION qO. <br /> <br />Job Address ~.0~33' [~e~reL*ma. t3. [~,c[; 'S. ~Eo <br /> <br />Owner AIT~et-t-T~. ~'[~ .,. <br />Plbg. Installer ~me <br /> <br />Address ' Phone <br />Address ,_ Phone <br /> <br /> TYPE OF PERM T " ' ' ~ ' ~ O ~1'E '. H <br />, _~"/~t~ .'r .~,~ O. F I MS , , ~EE ON FAC TOTAL AMOUNT <br />BasePnce ..... / · ~' '=.. ;~. '"' ~ . .. ' ' $ 5,00 <br />Residential /',.' ~ "~:,.' ;~: ~'; ' ' ' . · ' , _.. <br /> Kitchen Unit nc udesWater Heater /- ~'~ ~" ~ ' ~ / ' · $4.00 <br /> Bath Unit(full) /. ~ ~:'"'~ ~" ;~ :~ ..... ' $5.00 <br /> BathUhit(half)' .- /~ ~ _,~g~' ~ ' $3.00 <br />LaundryUd~ ~ ,~'~ --~ '- .~ . ~ $3.00 ..; <br />With Plumbing ~rn-~ ~ ~ *'~ .... /~ , ~" . ..... ' ~ $5.00 . <br />Commercial ~ " ~ ~ ." <br />I to 50 Fixtures ~ .[~' , '. % . ~' ~'~" :"~:<..: '~' _'; "~/~ ' ' " <br />Over. 50Ftxtures.. ~ ~x , .--~ . .~.~.~.- ~' -' $1.00ea. <br />Alterations & Add~tmns ~ ,~ · .~. ~' / <br />Char~ed a: Commercia~ates .<~..- ~ .~.- <br /> <br /> o and Including each pro~ct~ve devine ~- .... ~' ..: · , · ' $2.00 ' <br /> ~ - "~.;= ', ..' ......... TOTALA~UNTALL TEMS, <br /> . ,....~ · ..... · ...... ;.~ .. ,~ .... .,. :,,. ,/~_ <br /> . ' ' , ' '. '. .... '.,. , <br /> <br />I cert fy that all plumbins Oregon Revised Statutes Chapters 447 <br />and 693 and applicable codes. <br /> <br /> <br />