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By: <br /> <br />Owner: <br /> <br />P1~.'~588-5147 <br /> <br />~PECTION <br /> <br />BIdg· .Permit,No',' 445 <br />Plbg, Permit No. ~.48 <br />Date: 5/6/85 <br /> <br />Plbg. Installer Address Phone <br /> <br /> TYPE OF PERMIT 'NO, OF ITEMS FEE ON EACH TOTAL AMOUNT <br /> Base Price .... ~10,00 <br /> Resldenfla. I ...., <br />New Construction (each f XtUra) , ;~ $ 7.50 <br />Alt ( ) <br />· , erat cna each f xture , :. .',,. 7.50 <br />Lin ....... <br />Water es <br />~ feet o <br />For the first, 1 0 r fraction thereof 20.00, <br />For add t one 100 feet :' ' 15,00 · <br />Sewer Service Linee. , .'.., " · <br />· , First, 100 feet.~r fract on thereof ,,, · , 30.00 <br />Additional 1 O0 feet, 15.{)0 " <br />Commercial <br />( ) ' 7.50 <br />New construction each f xture <br />AIteratlons.,(each f xture) . " 7,50' <br />Lawn Sprinkllna System , <br /> <br /> g each .... <br /> To and Includin protective device.., ' ' . ' 5.00, ' , . <br /> · - ' FEE . , ,,-~'~ '~ <br /> Please return ,complete application · . ,. . ' '. , <br /> Width the indicated fee ' ' ' : · , SURCHARGE (4%) ' <br /> · ' ........ '" .... ' ....... -" '"' ' .... <br /> <br />I agree to perform work according to the submitted plans and specifications, the laws of the State of Oregon and the <br />Ordinances of Marion County Perm t exp rea f work not commenced within 180 days, I'further express y warrant that <br />comply with the provisions of ORS 701.005 to 701.125 because: <br /> <br />I am a registered and licensed plumber or <br />The authorized representative of a registered and licensed plumbing contractor· <br /> <br />The work will be performed by a registered and licensed plumber <br />,ram performing work On a property I own or occupy <br /> Other (please specify) <br /> <br />~ ) <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />Bldrs, Board Reg~ = - <br /> <br /> <br />