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Application Received <br /> <br />Application Approved <br /> <br /> Mari~n' County' <br /> <br />DEPT. OF BUILDING iNSPECTION <br /> <br /> 3180.CENTER STREET N.E. <br /> SALEM, OREGON 97301 <br /> 580-5147 <br /> <br />APPLICATION FOR. PLUMBING PERMIT <br /> <br />B,dg. Perm,t <br /> <br />NOTE: Applicants must hold Oregon Registration to conduct a ·plumbing business [-- or must 'be property owner/operator not <br /> hiring outside help' [~], Indicate. status. <br /> PLUMBING' HOME BUILDERS J <br /> BUSINESS <br /> LICENSE NO ==~Z.//- 7 ~ REGISTRATION NO, <br /> I <br /> <br />Job Address <br /> <br />PIbg~ Installer <br /> <br />Addres~ <br /> <br /> T PEOF PERMIT' · FEE ON EACH TOTAL AMOUNT <br /> · , :' N : TEMB <br /> Base Price ' " , $ 5.00 <br /> Kitchen Un'it, Includes ~ater Heater : ' ' ~ ' : $4,00 <br /> <br />" Laundry Un t , / $3.00 <br />Miscellaneous Fixtures · $2.~ <br /> ' Sewer Servioe Line ,,, ; : ' $3.~0 <br /> With Plumbing Turn.aroudd · ' ; ,: : <br /> Co~mercial , . <br /> 1 to 50 Fixtures : ....... I - . $2,00 ea. <br /> Aterat~'ons&Charged at CommerclalAddlti'°ns Rates , ' : ' "· ' ~".: "· ' , :-' ' ':' ' <br /> Lawn Spr nkllng By.em ...... ' :., ' <br /> : ITEMS <br /> ' SURCHARGE <br /> <br />I certify, that. all r31umb ng work will be done in accordance with applicable provls ohs of Oregon I vised Statutes Chapters 447 <br />and 693 and applicable codes, and that ~o help will be employed, unless licensed umier ORS '693. <br /> <br />Return Complete ,~PPlicati~)n With the..tndicate~ Fee, <br /> <br /> <br />