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Application Received <br /> <br />Date <br /> ! <br /> <br />Application Approved <br /> <br />Date ..... <br /> <br /> Marion Count~ <br /> <br />DEPT. OF BUILDING INSPECTION <br />COURT HOUSE, SALEM, OREGON <br /> <br />PLUMBING INSTALLATION <br /> <br />Permit No. <br />Permit Fee <br />Receipt No, <br /> <br />APPLICATION TO INSTALL <br /> <br /> Water Closets No, <br /> Bath (tub) No, <br /> Basins No,, <br /> <br />Rain Drains No. <br />~iS~nks No. <br />Laundry Trays No. <br />Garbage Disposal No. <br /> <br />Other Fixtures not spec{fled above <br /> <br />Drinking Fountains No. <br /> <br />Shower Beths No,, <br />Wash Racks No. <br />Drains, Stable No, <br />Drains, Garage No. <br />Drains, Floor No, <br />Dishwasher No. <br /> <br />Urinals No, <br />Slop Sinks No, <br />Sump Pumps No, <br />Boiler Blow Off No,, <br /> <br />Refrigerator Wastes No. <br />Automatic Washers No.. <br /> <br />Water Heaters No <br /> <br />REMARKS <br /> <br />agree ,o I iRnestPaai~ t the plumbing system according ,o the Plumbing Code of the State of Oregon <br /> <br /> <br />