Laserfiche WebLink
Plumbing Permit Application <br /> <br />Appt, Recd:, <br /> <br />By:., tim <br /> <br />Date: $/15/80 <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senator Building # 225 <br /> 220 H gh St.. N.E. 2nd Floor <br /> Salem. Oregon 97301 <br />R.H. WlTNROW; BLDG.!,ADMINISTRATOR <br />588-5147 588-5148 <br />5:00 P,M,. ........... CODE-A-Phone 588-5373 ............. 8:00 A.M. <br /> <br /> Plumbing Permit Application <br /> <br />Bldg, Permit No,. 80-1574 <br /> <br />Plbg. Permit No, 21330 <br /> Date: <br /> <br /> TYPE OF PERMIT NO. OF ITEMS FEE ON ~ACH TOTAl. AMOUNT <br />Base Price $10.00 <br />Residential <br />Kitchen Unit includes Water,Heater · - <br />Bath Unit (full} 10,00 ~'~,~'~ <br />Bath Unit (half) 5.00 <br />· Laundry Unit ' " 5,00 ,.~.O{:~ <br />Miscellaneous Fixtures , 5.00 <br />Sewer Service Line ' ' <br />Private - Shall be charged per 100' or fraction thereof 10.00 <br />Commercial <br /> 1 to 50 Fixtures .... 2.00 ea. <br /> Over 50 Fixtures , . 3.00 aa, , ..... <br />Alterations & Additions .. <br />Charged a.!..C, ornmerctal Rate~ ..... , . , <br />Lawn Sprinkling System <br /> · 5.00 <br />To and including each protective device ...... <br /> <br /> · FEE ~ <br /> Please return complete application SURCHARGE /, ~ O <br /> w'ith the indicated fee. <br /> <br />I ag ree to perform work according to the submitted plans and·specifications, the laws of the State of, Oregon and <br />the Ordinances Of Marion County. Permit expires if work not commenced wi.thin 120 days. I further expressly war- <br />rant that I corn ply with the provisions of ORS 701,005 to 701.125 because: <br /> <br />P'} I am a regmtered and licensed plumber or <br /> The authorized representative of a registered and licensed plumbing contractor. <br /> <br />The work will ~)e performed by a registered and licensed plumber <br />am performing work on a property/ own or occupy ; <br />Other (please specify) <br /> <br />SIGNATURE OF APPLICANT ~~'~~~~ <br /> <br /> <br />