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Application Received <br />Date <br /> <br /> Marion County <br /> <br />DEPT. OF BUILDING INSPECTION <br /> <br /> 3180 CENTER STREET N.E. <br /> SALEM. OREGON 97301 <br /> 588-5147 <br /> <br />APPLICATION FOR PLUMBING PERMIT <br /> <br />Pi,g. Permit <br /> <br />NOTE: Applicants must hold Oregon Registration to condu~t a plumbing business I'-l,0r must be property owner/operator not <br /> <br />Job Address <br /> <br />hiring outside help ['-]. Indicate status. <br /> <br />PLUMBING <br /> <br />L CENSE NO. <br /> <br />HOME BUILbERS <br />REGISTRATION NO. <br /> <br /> TYPE OF PERMIT NO. OF ITEMS FEE ON EACH TOTAL AMOUNT <br /> ~ase P~"ice ' $ 5,00 <br /> <br /> K',!~chen Unit [nc ~es Water Heater' i'~ / $4.00 .. ~, ~- ,x <br /> B~th Unit (full) , ~ $5,~0 L~*, ~ ~ <br /> Bath Unit (h~]f) $3~00 <br /> Laundry__Unit . _ , / $3,00 ~, ~ <br /> Mis~e,Haneous Fixtures . $2,0~, <br /> Sewer Service Line $3.00 <br /> Wi~h Plumbln~ Turn-around ' ' , . , ' ,,, $5.00 ' . <br /> Commercial <br /> 1 to 50 ~ixtures ...... $2,00 ea. <br /> Over 50 Fixtures .,, $1,0~,ffa, . <br /> Alteratio~ E Additions <br /> Charged at Commercial.~ates , , <br />Lawn Sprinkling Sy~em ,. : ,, , <br />.. To and including each protectiFe device $2,0~, , <br /> <br /> TOTAL AMOUNT ALL iTEMS ~, ~ <br /> I <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 help will be employed unless licensed under ORS 693. <br /> <br />........................~ ~ ..... ,,_ ................. ~-~.: .................. <br /> Z ....... <br /> <br /> <br />