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Application Received <br />Application ~ved <br /> <br /> Marion County <br /> <br />DEPT. OF BUILDING INSPECTION <br /> <br /> 3180 CENTER STREET N.B. <br /> SALEM, OREGON 97301 <br /> 688-5147 <br /> <br />Bldg. Permit ~ ~-Y¢~ <br />Plbg. Permit ~ .~ <br /> <br />NOTE: <br /> <br /> PLUMBING <br /> SUBINESS <br /> LICENBE NO, <br /> <br />Job Address ~) ~) <br /> <br /> APPLICATION FOR PLUMBING PERMIT <br /> <br />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 /> F~EGIBTRATION NO, <br /> <br />Owne~'~ ~ Address Phone <br /> <br /> TYPE OF PERMIT NO, OF ITEMS FEE ON EACH TOTAL AMOUNT <br /> Base Price $ 5.00 <br /> Residential <br />......... K'itch'e~ Un"it "Includes Water Heater / $4,00 <br /> Bath Unit (full)~ $5..00~/~, ~ O_ <br /> Bath Unit (half) $3.00 <br /> Laundry Unit / $3..00 ~. <br /> Miscellaneous Fixtures $2.00 <br /> Sewer Service Line $3~00 <br /> With Plumbing Turn-around $5,00 <br /> Commercial <br /> 1 to 50 Fixtures $2.00 ea. <br /> Over 50 Fixtures $1,00 <br /> Alterations & Additions <br /> '. Charged at Commercial Rates <br /> ,,Lawn Sprinkling System <br /> To and incruding each protective device $2.00 <br /> TOTAL AMOUNT ALL iTEMS <br /> GRAND TOTAL <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 /> '--¥ ...................... '~'""~ .... :~&Y~; -~-f ¥ ~ ~/~-~¥[~;b-~'- ~ii~7 ......................................................... <br /> Return Complete Application With the Indicated Fee. <br /> <br /> <br />