Laserfiche WebLink
Application Received <br /> <br />Date <br /> <br />Application Approved <br /> <br />°ate ?? <br /> <br /> Marion Copnty <br />DEPT, OF BUILDING INSPECTION <br /> <br /> 3180 CENTER STREET N.E. <br /> SALEM, OREGON S7301 <br /> ESE-E147 <br /> <br />APPLICATION FOR PLUMBING PERMIT <br /> <br />Plbg. Permit , /~ 7 ~'~ <br /> <br />NOTE: Applicants must hold Oregon Registration to conduct a plumbing business [] or must be property owner/operator not <br /> <br />hiring outside help I~. Indicate status. <br /> <br />LICENSE NO, <br /> <br />HOMB BU~ LDE RS <br />R~GtSTRAT ON NO //~;~O <br /> <br /> ......... <br /> <br />Owner 3~K~s'-~ Lj~.~j~ ~ ..... Address /0~/C~O ~'--~'~/~ig'/~': ~-"/~ ~''~ Phone <br />Plbg. lnstaller~_~l~__.~L(~J~7 PlI.2~, Address.~-~ '~' ~/~/~"~Phone <br /> <br /> · T~PE OF PERMIT NO. OF TEMS :FEE ON EACH TOTAL AMOUNT <br /> Base Price :v $ 5,00 <br /> Residential <br /> Kitchen Unit Includes Water He~.t~.? ........... "'"' ~4.O0 ' .,_..~ <br /> u. t (full) ........... ' ........ SB.0o <br /> Bath Unit (half) $3.00 <br /> Laundry Unit ................ $3,00 <br /> <br /> Miscellaneous Fixtures ................... $2:00 <br /> Sewer Service Line $3.00 <br /> With P!.~...mb.!.n.9..Tu.r n -a rou nd ...... $5.OO <br /> Commercial <br /> _ I to 50 Fixtures ......... $.~,~0Q ea. <br /> Over 50 Fixtures $1,00 :ea. <br /> Alterations & Additions ................... <br />__ Charged at Commerc a Rates <br />Lawn Sprinkling System <br />To and including each'"~t'e~ti~e device ............. $2.00 .... <br /> <br /> / TOTAL AMOUNT ALL ITEMS <br /> 7 <br /> I <br /> SURCHARGE <br /> GRAND TOTAL <:~ <br /> <br />I certify that ali plumbing work will be done in acaordance with applicable provisi0na of Oregon :Revised Statutes Chapters 447 <br />and 693 and applicable codes, and that no help wilt be employed unless licensed under ORS 693. <br /> <br /> Date <br /> Return Complete Application With the Indicated Fee. <br /> <br /> <br />