Laserfiche WebLink
Application Received <br /> <br />Application Approved __ <br />Date <br /> <br /> Marion County <br /> <br />DEPT,, OF BUILDING INSPECTION <br /> <br /> 220 HIGH ST N E, <br /> SALEM, OREGON 97301 <br /> 588-5147 <br /> <br />APPLICATION FOR PLUMBING PERMIT <br /> <br />NOTE; Applicants mus~ hold Oregon Registration to ccnduct a plumbing business [] or must be property owner/operator not <br /> hiring outside help Iq. Indicate status. <br /> <br /> 'LICENSE NO,, <br /> PLUMBING <br /> BUSINESS <br /> <br />Job Address(~ "~- <br /> <br />TYPE OF PERMIT <br /> <br />Address <br /> <br />Phone <br /> <br />TOTAL AMOUNT <br /> <br />NO,, OF ITEMS FEE ON EACH <br /> <br /> $4.00 <br /> $5.00 <br /> $3.00 <br /> $3,,OO <br /> $2o0 <br /> $300 <br /> $5.00 <br /> <br /> $2,00 ea. <br /> $1 00 ea. <br /> <br /> $2.00 <br /> <br />Base Price $ 5,00 <br />Residential <br />Kitchen Unit Includes Water Heater ,z~zf-O <br />Bath Unit (full} ,.~-z'~ <br />Bath Unit (half) <br />Laundry Unit ~ ,~ <br /> <br />TOTAL AMOUNT ALL ITEMS <br />SURCHARGE <br /> <br />G RAND TOTAL <br /> <br /> Miscellaneous Fixtures <br /> Sewer Service Line <br /> With Plumbin9 Turn-around <br /> Commercial <br /> 1 to 50 Fixtures <br /> Over 50 Fixtures <br /> Alterations & Additions <br /> Charged at Commercial Rates <br />%awrt ~prinl¢ling System <br /> To and including each protective device <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 /> / ' "eturn Com;l:::P~p;liLtion With the Indicated Fee, <br /> <br /> <br />