Laserfiche WebLink
FOR crrY USE ONLY <br /> <br />Zo~ia~ By: <br />~: <br /> <br />~uoN co,~n, m:TX~)~G mrS~gCT~ON <br />31 $0 Lancasm' Dr. NE ~ Suite C <br />~ 0~o. 97305 <br />8:00 am - 4'30 pm 24 ~. ~zctkm Linc 373-4427 FAX 588-7948 <br /> <br />IPLUMBING PERMIT APPLICATION <br /> P/~ase comp/ace rd/See#am, I through $ <br /> <br />1. LOCATION OF II~'TAr.!.ATION <br /> <br /> c~ Judsoa's Inc. <br /> <br /> ~nm~ P.O. Box12669 <br /> <br /> c~ Salem sram 0R ~ 9~309 <br /> ~< (503) 363-4141 <br /> <br /> F= (503) 399-8760 <br /> <br /> ~o~ 34604 <br /> <br /> [ am the PROPKR~ O~ER a~ [ ~1~ ~ or ~l ~ ~ ~ ~ple~d <br /> <br /> reg~ter ~ a ~o~c~on con~ctor ~tht ~c~e ~ ~d or o~d~r <br /> before or u~n compJt~ ~[ h~e ~on~c~rs, [ ~11 ~t o~ <br /> <br /> Ca~ction Con~acton ~d. I wi~ mmtd~te~ na~ ~on Co~ of <br /> ~e name of the ~n~actor: <br /> <br /> Unit <br /> <br />W~t Bar <br /> <br /> Total# Fixan~s: x $15.00 - S <br />Rmoaae~(pa'~au~) x $730 ' $ <br />LawnYaeuumB~:aka' x $7.$0 - $ . <br />Odm-Va~uumB~.~,.-De6a~s X SlO.O0 -$ <br /> <br />~,~'-'~- h F~t 100 ff. X h~tloa th~of X $25.00 <br /> F~x ~a ~-1100 ff. ag to $00 f~t x $16.00 <br /> <br /> Fo~ ea ~ttn1100 fi~'t X <br /> <br />S. FEES <br /> <br />x S10.00 ,-$ <br /> <br />x S .09 -S $ <br /> <br />F- AdditlonalPlanR=vi~' ($6230/hour, mlnimum~c~halfhour) S <br /> <br /> <br />