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Apl~lication Recelvedt~.:~L--~-~ / <br /> <br />~ato <br /> <br />~OT~: ~li*~n~ mu~ hold <br /> hiHnfl out,id, h*l~ ~. Indicele smtu~. <br /> <br /> PLUMBING <br /> 8UB~NE~8 <br /> LICENSE NO. <br /> <br /> Mai:ion County ; <br />DEPT. DE BUILDING INSPECTION <br /> .220,HIGH,ST;' N .E;' <br /> ~$AI~EM "oREGON,97301 <br /> SBS-Sl'4~ ' . <br /> <br />APPL CAT ON FOR PI~UlViI~ING <br /> <br />~OME BUICDERE; ,' <br />=~E G I'ST RATI.ON 'NO. <br /> <br />Bldg..Permit # <br /> <br />'owner/operator not <br /> <br />Job Address <br /> <br />Owner Address <br />Plbg, Installer ~Add~e~s. <br /> <br /> OTAL AMOUNT <br />Miscellaneous Fixtures ' ' ' ' ' · ' ' '" ' <br /> <br /> ' ~ · SURCHA. FCGE ' "': . <br /> <br />I certify that all plumbing <br />and 693 and applicable codes, and that no he <br /> <br />Chapters~ 447 <br /> <br /> <br />