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Application Received
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<br />Data
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<br />Application Approved.
<br />
<br />By.
<br />
<br /> Marion County
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<br />DEPT. OF BUILDING INSPECTION
<br />
<br /> , ; ,3~8O,CENTER $1~REET
<br />..... '~' SALEM;ORI-'GON 97391 =
<br /> 588-5147
<br />
<br />APPLICATION FOR PLUMBING =PERMIT
<br />
<br />Bldg. Permi~~
<br />Ptbg. Permit
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<br />NOTE: Applicants must hold 0'regon Registration to conduct a=,plumbinff business,r-~ or must be property owner/operator not
<br />
<br /> hiring outside help E~,, Indicate,status.
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<br /> PLUMBING
<br /> LICBNSE NC),, 2L~-29
<br />
<br /> ./
<br />Job Address ~[haw -' .... ~,~,, ' Hwv
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<br />Owner Shaw Fire ................ ~.,~.~,,,.-t
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<br />Plbg,, Installer Miller' s Plumbing
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<br />Address ~t~w '
<br />Address, 4763 Homer Rd', NE
<br />
<br />Phone
<br />
<br />Phone~~
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<br /> ,,; TYPE OF PERMIT, ,: ;:: NO. OFIT MS, ,FEEONEACH TOTAL AMOUNT
<br /> Base Price $
<br /> Residential
<br /> Kitchen Unit Includes Water Heater ................ $4,r,(~),
<br /> ........................
<br /> Bath Unit (half) ....... $3.00 ...................
<br /> Laundry Unit $3.00
<br /> Miscel'laneous Fixtures ,$,2:(~0. ............
<br /> Sewer Service Line $3,00
<br /> With Plu mblng,Tu rn-~ rq~,,~d ..... $5,00
<br /> Commercial
<br /> 1 to 50 Fixtures ~,
<br /> ;Ove~0 pi~tures $1.00 aa.
<br /> Alterations & Additions
<br /> Charged at Commercial Rates
<br /> L,~w~ ~prinkling System "
<br />' To and including each pro:.e.c~,!ve devi~e .................... .$2.00
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<br /> TOTAL AMOUNT ALL iTEMS ~,~ '~,~
<br /> :':' ,..'' ~ ~,,":! ~ , .... , 'SURCHARGE ":' ' ' ' , / ~,~
<br /> , GRAND TOTAL
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<br />I certify that all plumbing work will be done
<br />and 693 and applicable codes, and that no help will be employe~l unless licensed under ORS 693.
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<br /> Return Complete Application With the Indicated Fee.
<br />
<br />~n accordance with applicable provisions of Oregon Revised Statutes Chapters 447
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<br /> ..... ...........
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