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Application Received <br /> <br />Date - <br /> <br />Applic~l:ion Approved <br /> <br /> Marion County <br /> <br />DEPT: 'OF BUILDING'INSPECTION <br /> <br /> 31so CENTER STREET N.E, <br /> SALEM, OREGON 97:301 <br /> 588-5t~,7 <br /> <br />APPLICATION FOR PLUMBING PERMIT, <br /> <br />Pbg Permit~ <br /> <br />NOTE App cants mus~ ho d Oregon Reg strut on to. condu~la plumbing'business [] or must he property owner/operator not <br /> hiring outside help I-"]. Indicate status. <br /> <br />PLUMBING JHOME BUILDERS <br />IEU$' N~$$ ~. t,~-.~ O RI~GISTRATION NO. <br />FucE.sE .,o. .... <br /> <br />Job Address <br /> <br />Owner '~ ~..~7"~',,'~'~'~-~" Address. <br /> <br /> xgx'/,r,~,,,,,,,~j' <br />PJbg. J~staJler ~// ~ Address <br /> <br /> Phone <br />! <br /> Phone <br /> <br /> "' ' ' ~ ' TOTA A <br />· ' TYPE OF PERMIT .... NO,. OF ITEMS, FEE ON EACH L MO... NT <br />Base Price : . ' i ·, ,._ $ 5,00 <br />Residential ' <br />Kitchen..Unit ,Includes Water. Heater" , · , .. · . . ...... ./ $4 0(~ .... <br />Bath Unit (full) · , .... , . ~ $5.q0..,;., , <br />Bath Unit (half) ' ,' ' :. '! ' $3.00 <br />Laun~,r.y Unit ' ' ..' , ' / $3 O0 <br />$2.00 <br />Miscellaneous Fixtures <br />Sawer Service Line ' ' ........ · $3.00 <br />With Plumbing'Turn-around , , $5,00. <br />Commercial · , · ... · <br />1 to 50 Fixtures · , . $2.00 ea. <br />Over 50 Fixtures ' · .' ' ' $1 O0'~a, <br />Alterations& AdditiOns ' ' '" ~ ':" ' '"' ' ' ' " ' <br />C~harged at CommedcJal Rates ...... <br />Lawn Sprinl¢ling System ' <br />To and nc ud n9 each protective day{ce ....... $2 90 . <br />, . . TOTAL AMOUNT ALL ITEMS ~.~.,/ <br />. SURCHARGE , <br />D TOTAL <br />'G AN <br />, R <br /> <br />I <br />aild: <br /> <br />plumbing work will be ,done in accordance w th appl cable provisions of'Oregon Revised Statutes Chapters 447 <br /> and that ~ ).help will be employed' unless.licenssd under .ORS 693; <br /> <br />Return Complete Application. With the Indicated Fee. <br /> <br /> <br />