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Application Received ,- <br />Date ~ <br /> <br />Application Approved <br /> <br /> Marion County <br /> <br />DEPT. OF BUILDING INSPECTION <br />COURT HOUSE. SALEM, 'OREGON <br /> <br />Permit Fee ~ <br /> <br />Receipt No. <br /> <br />Address ~' / <br /> <br />PLUMBING INSTALLATION <br /> <br />Phone .... <br /> <br />APPLICATION TO INSTALL <br /> <br /> Water CIoset~ No. <br /> Bath (tub) No, <br /> Basins No. <br /> <br />Rain Drains No, <br />O Sinks No. <br />Laundry Trays No, <br />Garbage Disposal No. <br /> <br />Drinking Fountains Nm <br /> <br />Shower Baths No. <br />Wash Hacks No. <br />Drains, Stable No, <br />Drains, Garage No. <br />Drains, Floor No. <br />Dishwasher No, <br /> <br />Other Fixtures not specified above <br /> <br />Urinals <br /> <br />Slop Sinks <br />Suni3 Pumps <br /> <br />No, <br /> <br /> No. <br />Boiler Blow Off No. <br /> <br />Refrigerator Wastes No, . <br /> <br />Automatic Washers ' No. <br /> <br />Water Heaters No. <br /> <br />REMARKS <br /> <br />agree - R~ the plumbing system according to <br /> ~ ~-~/'-~. · ,,~--~-, the Plumbing Code of the State of <br /> Oregon. <br /> to <br /> <br /> <br />