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Application Received Marion County Bldg, Permit ~ <br /> DFPT. OF BUILDING INSPECTION <br />Date 3180 CENTER STREET N.E. Plbg. Permit ~ <br /> SALEM, OREGON 97301 <br />Application Approved ~ I 588.5147 <br /> <br />By~ ] ~ [ APPLICATION FOR PLUMBING PERMIT .~ <br /> <br /> hiring outside help ~. Indicate s~tus. <br /> <br /> [ PLUM~ING HOME BUILDERS <br /> L,ICENSE NO. R~GISTRATION NO. <br /> <br />Job Address <br /> <br />Plbg. Installer f~['~'~7, ..... Address. <br /> <br />Phone <br /> <br /> TYPE OF PERMIT NO. OF ITEMS FEEON EACH TOTAL AMOUNT <br /> <br /> Base Price ............. $ 5.0.0.. <br /> Residential <br /> Kitchen Unit""'lncludes Water Heater ...... , '7'" / .......... $'4.00 <br /> Bach. Unit (tull)/ ........ SE,00 ,,, , <br /> Bath Unit (haler) , ,, $,3,00 <br /> Laundry Unit '/ $3,00 <br /> Misceliaqeous Fixtures ........ ,,, , '"' , ................ $2.00 ,,, <br /> Sewer Service Line $$.00 <br /> With Plumbing Turn-around .... $5.00 ....... <br /> Commercial <br /> 1 to 50 Fixtures., ' ",Z, , '""' ' ', ,, , ' .......... $2,00 <br /> Over $0 Fixtures $I,00 aa, <br /> Alterations & Additions <br /> Charged" at Commercial Ratc.,~,, ...... ' ...... <br /> Lawn Sprinkling Syste_m_ ..... <br /> <br />.... To and includ_!~g each protective,device ............. $2,00 _, <br /> TOTAL AMOUNT ALL ITI;NJS <br /> SURCHARGE L~ ~ ...... <br /> GRAND TOTAl <br /> <br />I certify~t~ll p~umbing ~ will be done in accordance with applicable provisions of Oregon Revised Statutas Chapters 447 <br />and 69~ a~,,~pli~ble cOdes,:_~at no he, p witI be ampi°Yeti unl~ li~n.d u~er ORS 693. <br /> <br />................. ~ .................................. x-~ure o ? ~ ~ih-aTT~ ~T~ ~'~ .............................................................................. ~}~' ................... <br /> Return Complete Appli~tion With the Indicated Fee, <br /> <br /> <br />