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Application Received <br /> <br />Application Approved <br /> <br /> Marion County <br /> <br />DEPT. OF BUILDING INSPECTION <br /> <br /> 3180 CENTER ~TREET N.E. <br /> ~ALEM, OREGON 97301 <br /> <br />APPLICATION FOR PLUMBING PERMIT <br /> <br />Bldg. Permk # .~ -'-///~"~ <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 []. Indicate status. <br /> <br />PLUMBING <br />BUSINESS <br />LICENSE NO. <br /> <br />24-22 <br /> <br />PIbg. Installer Judson t s <br /> <br />Address__ Phone <br /> <br />Address~: E~a'Lem ~?~("L~ Phone <br /> <br /> TYPE OF PERMIT NO. OF ITEMS FEE ON EACH TOTAL AMOUNT <br /> <br /> Residenti~.! - <br /> Kiteh~n Unit Includes Water Heater '~) $4.0(~ ....... ~z,430 <br /> Seth Unit (~,,'li") ........... ~ $510o. ..... z o~<3 ~ <br /> Bath Unit (half) ...... i ....... . .... $3.00 <br />' ''Laundry Unit / '~3.00 ...... ~'~iC~ c~ <br />Miscellaneous Fixtu(es ....... $2.00 <br />Sewer Service Line . .$3.00 <br />Wi~h. Plumbing Turn-arou.nd ........... $5.00 ........ <br />Commereial ...... . ........ <br />1 to 60 Fixtures ...... $2'i00 ea. <br /> ....... $1.00 ea.. <br />Over 50 Fixtures ............. <br />Alterations & Additions ........... <br />Charged a~....Comme';;i';i' Rates ....... <br />Lawn Sprinkling System ................. <br /> To'~'nd including each protean'ire device ................ $2.00 ...... <br /> TOTAL AMOUNT ALL ITEMS ~_~., ~ ~ <br /> GRAND TOTAL~'~-P' ~.T~,~, g g <br /> <br />J <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 end 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 />