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A~plic~ti~m Received <br />Date -.~'-,~/~ ~'7 ,:',, <br /> <br />Ap.plication Approled ~ <br /> <br /> Marion County <br /> <br />DEPT. OF BUILDING iNSPECTION <br /> 31E0 CENTER STREET N.E. <br /> SALEM, OREGON 97301 <br /> 588-5147 <br /> <br />APPLICATION FOR PLUMBING PERMIT <br /> <br />Plbg. Permit ~ ¢ <br /> <br />NOTE: Applicants must hold Oregon Registration to conduct a plumbing business [] or must be property owner/operator not <br /> hiring outside help [~, indicate status. <br /> <br />Job Address <br /> <br />~LUMSING <br />~USI NESS <br />LICENSE NO,, <br /> <br />Plbg, Installer <br /> <br />Address <br /> <br />Phone ,,~ ~'¢7Z'~ ~ ~'0 <br />Phone <br /> <br /> TYPE OF PERMIT NO. OF ITEMS FEE ON EACH TOTAL AMOUNT <br /> Base Price $ 5,00 <br /> Residential <br /> ....... I~'i~hen Unit IncludesWater Heater '" ~/ ........ $4.00 <br /> Bath Unit (full) ......... ~ SS,00 .............. <br /> Sath Unit (half) ...................... $3,00 <br /> Laundry Unit ........... i', ........... ' '""( ............ ,$3,r(~,0.., ._'~,~ O <br /> Miscellaneous Fixtures $2,00 <br /> Sewer Service Line $3,00 <br /> With P[umhlng Turn-around ..................... , ..... ' .............. ,~5~0.0 <br /> Commercial <br /> 1 to 50 Fixtures $2,00 ca,, <br /> Over ~0 Fixtures $1.00 ca,, <br /> AIteretions & Additions <br /> Charged at Commercial Rates <br /> Lawn Sprinkling System ............ <br /> To and including each protective device ...... $2,00 ...................... <br />:' TOTAL AMOUNT ALL ITEMS <br />,, SURCHARGE <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 /> Return Complete Application With the Indicated Fee. <br /> <br /> <br />