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Application Received <br />Application Approved <br /> <br />Date __ <br /> <br /> Marion County <br /> <br />DEPT, OF BUILDING INSPECTION <br /> <br />COURT HOUSE, SALEM, OREGON <br /> <br />PLUMBING INSTALLATION <br /> <br />Permit No. <br /> <br />Perm,t Fee <br /> <br />Receipt No. <br /> <br />Address <br /> <br />APPLICATION TO INSTALL , <br /> <br />Water Closets No. <br />Bath (tub) No, <br />Basins No. <br />Rain Drains No <br /> <br />(~ Sinks No. __ :/ <br />Laundry Trays No. <br />Garbage Disposal No. <br /> <br />Other Fixtures not specified above <br /> <br />Drinking Fountains No. <br /> <br />Shower Baths No, <br />Wash Racks No. <br />Drains, Stable No. <br />Drains, Garage No, <br />Drains, FI0or No, <br />Dishwasher No. <br /> <br />Urlnals' No. <br />Slop Sinks No. <br />Sump Pumps No, <br />Boiler Blow Off No. <br /> <br /> Refrigerator Wastes No. __ <br /> <br />Automatic Washers NO. <br /> <br />Water Heaters No, <br /> <br />REMARKS <br /> <br />agree to <br /> <br />the plumbing system according to the Plumbing Code of the State of Oregon, <br /> <br /> <br />