Laserfiche WebLink
Plumbing Permit Application MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> <br />Appl, Reed:: ~ 220 High St., N,E, 2nd Floor <br /> WITHROW, BLDG. ADMINISTRATOR <br /> <br />Date: <br /> <br />Plumbing Permit Application <br /> <br /> Bidg,, Permit NO,, ,,~'~7 <br /> <br /> Plbg, Permit No <br /> 588-5147 -- 588-5148 <br />5:00 P.M.- ............ CODE-A-Phone 588-5373 ............. 8:00 AM. Date: <br /> <br /> Tax Lot No: .... <br /> <br />........ Sec Twnahp <br /> <br />BIdr. & No,,:: Phone: ........ Address: , <br /> <br /> TYPE OF PERMIT NO. OF ITEMS FEE ON EACH TOTAL AMOUNT <br /> .................... $1° O0 <br /> Base Price ...... <br /> Residential <br /> Kitchen Unit Includes Water Heater ...... $15.00 <br /> B~th Unit (full) ......... , ,,, 10,,00 <br />.......... Sath Unit (half) .... 5.00 <br /> 5.00 <br /> Laundry Unit .... <br /> Miscellaneous Fixtures ~ 5,00 <br /> Sewer Service Line ........ <br /> Private. Shal~ be charged pe~'10~';"~i: fraction thereof '" 10.00 <br /> Commercial <br /> 1 to 50 Fixtures 5,00 ea, <br /> Over 50 Fixtures 300 ea. <br /> Alterations & Additions .......... <br /> Charged at Commercial Rate~ ................ ~.~,~,~-~*~,o ~---~t~ <br /> LAW?, Sprinkling System ' , .............. <br /> TO and Including each pro!e~tive.,,d,,~vice ....... .5,00 <br /> FEE <br /> <br /> Please return complete application SURCH~P~G..,E ~-~ <br /> with the indicated fee. ~',~'~'~ '~-~'~ ' <br /> TOTAL <br /> <br />I agree to perform work according to the submitted plans and specifications, the laws of the State of Oregon and <br />the Ordinances of Marion County. Permit expires if work not commenced within 120 days, I further expressly war- <br />rant that I comply with the provisions of ORS 701.005 to 701.125 because: <br /> <br />I am a registered and licensed plumber or <br />The authorized representative of a registered and licensed plumbing contractor. <br /> <br />The work will be performed by a registered and licensed plumber <br />I am performing work on a property I own or occupy <br />Other (please specify) <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> <br />