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Application Received · · .]
<br />
<br /> Mar on County
<br />
<br />· DEPT, OF BUILDING iNSPECTION
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<br /> SALEM. OREGON 9730~
<br /> 1588-5147
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<br />APPLICATION' FOR ',PLUMBIN(
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<br />NOTE: Applicants .must hold 'Oregon,, Regi~r, afion~ to conduct
<br /> hiring outside help [--1. Indicate status.
<br />
<br /> ~LUMB~NG ' : '"
<br />
<br />plumbing business' [] or must be property~;bwner/operator 'not
<br /> · HOME B~ LDERS
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<br />Job Address L/t ~ {~ Lw~, ' II
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<br /> Insta 'r ' ,'~,~m-
<br />P{bg,
<br />
<br />Phons
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<br />Phone
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<br /> " · · TYPE'OF PERMIT. L : · ' . .NO' OF.ITEMS FEE ON., EACH ' TOTAL AMOUNT
<br /> ' ' : ' - . $ 5,oo ....
<br /> Base Price ' ' ":' , , .........
<br /> Res~dantm ' ' , ..,
<br /> K tch~n Un t, Includes Water Hea~ter ,, · . ' .:,/ '. $4',00
<br /> Bath Unlt'(fu]l) ,' - , .' '~ ' ' "- ' ' ~ ',. $5.00 /
<br /> 6a~h.,,Un t (half) , , , , · : ,,. - · $3.00. , '
<br /> Laundry Unit ,_ ' , .., , ' / · $:3.00
<br />M scsllaneous Fixtures , . , . , '" : ,,.._ ' ' .$2.00 '
<br />Sewer Service Line . . ~ ' , ,,: '. , ' , $3.00
<br />h P ' , . $5.00.
<br />Wit lumbing Tar n -a ro.~.n.d · ' .... '
<br />, Commercial :. , . .. · ,..- - :
<br />1to50Fixtures . . ,, ,...;': ,, '}, . .:.. ,.,..' ' .... $2.00 ea. ,
<br />Over 50 Fix'~ures , "' :"- ,, ...' '.. - '; ' $1.00 ea.
<br />Alterations & Additions ' ' ' ' ' ' :~ ~' ...... ~ ': ":' ' ' .... ~' ' · '
<br />Charged at Commerc a ,Rat~' .... ',, ' '.., : ',,, ' ,' ~ " '
<br />Lawn SPrinkling System ' ' ' ' ' ~' ' '" ' '
<br />.... ..... · " · ' $2.00
<br />To and including each protective device . ., , _.
<br />· . , , ~.',: , :. ,' : TOTAL AMoUNT ALL ITEMS '
<br />&d,'%/~'" d/02~'~- ' · '" ".'... ' GRAI~, D TOTAL
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<br /> e ' ' work will 'be done in accordance wth app cebe'provsons of Oregon.Revised Statutes Chapters 447
<br />and 693 and ~ 693.
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<br />Return. Complete Application Wit,h the indicated .Fee.
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