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Application Received
<br />
<br />Application Approved
<br />
<br />Date 8127/79
<br />
<br /> ,,Marion·CounW,,. ,- ·
<br />DEPT· OF BUIL, DIN'G .iNSPECTION
<br />
<br />· BI,dg,:'Perm t
<br />
<br />~l[3g, Permit ~ .2,0401:
<br />
<br />NOTE: Applicants must hold Oregon Registration ;to :'c~nduct :,a.: plue
<br /> hlr ng outs de he p [~. nd cate status..'. ....
<br />
<br /> PL~JMBING .', '
<br /> LICE[~$1~ NO. .
<br />
<br />Job Address Rout~ 1 'BOX,.45 A~ Au.cora ....
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<br />ust be Property'"'owner/operator: not
<br />
<br />Owner Akc%%y Konev
<br />
<br />Plbg, Instarler Self
<br />
<br />· , Address
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<br />W~0~ ;: , ..,,phone 981-8624
<br />Phone .
<br />
<br /> ........ · !,FEE o~ EACH TOT~L AMOUNT
<br /> · TYPE OF PERMIT ,'. , , · ,. ' N,O.,O~t~,, E
<br /> ' .................. , ·
<br /> · Ba~ePrce , .,' , ,. ,: ' · · , .........
<br /> 'Re~identlal · , : ...... .- ,' ..... ' % '"'~: :;"',': i ,..:,c-,~,,~.:,.:;,."~,~:,.,",l ,,,. ,' , -
<br />· BathUnt fu ' : · : .......... ~;': ,:;.",,:.2"'::,,i',, ~, ~,: ;,,: ::'$5.00,':: ' 10.00
<br />Bath Unit (half) ',' ' ' .... : '
<br /> ..... ., ~ · ~ . .' '$3~00 , 3.~0
<br /> Laundr~ Unit · : ........ : , , ', ~ ', ...... [ $3,00' 3.00
<br /> Misce(t~neous Fixtures : ," " ' ' " ' ....... ' '
<br /> · - .,.~ .... , ': -; ..$2:~ . -
<br /> · : s3'.00
<br /> SewerSe~ice'Line : "" ~''''''~' ' ~ '''' ' · ~ ,, " ,.' , · ·
<br /> , .<: ,. .... .~:,,. ,: ~ , ..,. , ' : .. ".$5;00'..., ,,~,,,..'
<br /> ; ~ith ~l~mbj~g Turn-a;oun~ ' ~ .., ' ',,'.~ : , ..... . .,~,.
<br /> '" '" '" ,.",%' ,"~:.',., ~ ;:;,,',$200ea.' ,'.'
<br /> ItoSOFixtures., '7.. .' . .., . , .<.,. ,',,. . ,.. ,,., , .,,. . ,
<br />. ' Over 50 Fixtures ', ' · '. , ~, , :..,< ~ ;, , .,,~ ~,,..~,, ,,,~,~,~, .... ,.. $1.00 ea ~,., , ... '' ,
<br />Charged at Commercial Rates .... "'
<br />
<br /> ....... ,~,¢ ....... " $2.00 ...... ~; ,:~ :
<br /> To and ,i, ndudJng ........ ~ ......... "- ...............
<br /> '~:' " '"" ' ' '~ ' ......... ?' ..... · ' :'::,25;00
<br /> · : :~, ;:" ;'~ :,~:" ~ ', < '" :'+.~OTAL':AMO~NTALEITEMS. ,,, .... '
<br /> "'-'- ..... :' ............ ' ......... · ...... '
<br /> .' ,' ~Z~.~Z~., .':. ', SU,~CRA'.~E ,,," · '
<br /> . , ~ . ,. ....... ~ ..... ~ ~... ~,?~, , .......
<br /> ..................... , , · GRAND~OTAL , 00
<br />
<br />I certify that all plumbing work will'b~;
<br />and 693 and appllcabla
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<br />Return: Complete Application With the ,Indicated'Fee.
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