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Appllcation Received <br />Date <br /> <br />Application Approved <br /> <br /> Marion County <br /> <br />DEPT. OF BUILDING INSPECTION <br /> <br /> 31S0 CENTER STREET N.E. <br /> SALEM, OREGON 97301 <br /> 588-5147 <br /> <br />APPLICATION FOR PLUMBING PERMIT <br /> <br />Bldg.. Permit <br /> <br />P,bg, 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 /> <br />Job Address <br /> <br />LICENSE NO.. <br /> <br />HUME SUILDERS <br />REGISTRATION NO, <br /> <br />////¥ ' <br /> <br /> TYPE OF PERMIT NO. OF ITEM~ FEE ON EACH TOTAL AMOUNT <br /> Base Price .......... $ 5.00 <br /> Residential <br /> <br /> t~ath Unit (full) ........~ $5.00 <br /> Bath Uni~ ,!.h~,lf) .......... $3.:,(~,0 <br /> Laundry Unit .................. ~/ $3.00 . -~,, <br /> M~iscellaneous Fixtures .... $2.(~0. <br />.... S~ver Service Line $3,00 <br /> With Plu mbing..T. ~r~-a rqu nd .......................... $5.00 ...... <br /> Commercial <br /> 1 to 50 F_i.~res ........ $2.00 <br /> Over 50 F~xtures $1,,00 aa, - <br /> Alterations & Addition~' .... ' ................. <br /> Charged at Commercial Rates <br /> Lawn Sprigkljng System <br /> To and includin~ each protective device ...... $:~.00 <br /> <br /> TOTAL AMOUNT ALL ITEMS <br /> SURCHARGE <br /> GRAND TOTAL <br /> <br />I certify that all plumbing work will be done in accordance with applicable provisions of Oregon Revised Statutes Chapters 447 <br />and 693 and applicable codes, and that no ~.l.l~lp will be employed unless licensed under ORS 693. <br /> <br /> ..................... ~;;~- ................... <br /> <br /> Return Complete Application With the Indlcated Fee, <br /> <br /> <br />