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PLUMBE~G PERMIT APPLICATION <br /> P~-~e comph~ ~II ~m, 1 throug~ $ <br /> <br />1. LOCATION OF INSTALLATXON <br /> <br />z~97309 <br /> <br />I 34604 24-22 PB <br /> <br />z~. FORO~RGVSrALLA~ON S~ # 3078~ <br /> <br /> ~ <br /> <br /> s~ ~ w~l be ~ own gme~ co~. l ~ ~ f M~ <br /> ~Mr ~ a co~cdon coa~ ~Me ~ ~ ~ld or o~r <br /> he, re or ~on compt~o~ ~I ~e ~bco~rr I ~ ~ ~ <br /> ~bcon~actor$ revered w~ ~e Co~cdoa Con~ B~ ~I <br /> change ~ mt~ and do hire a gene~ con~ctor who ~ ~ ~ ~ <br /> <br /> MARION COUNTY ~IT~II~G INSPECTION <br /> 31 $0 Lanca.q~ Dr. N'S - Su/~ C <br />Sal=m. Or=~m 9730~ <br />8:00 am- 4'.30 pm 24 hr. ~u LJw 371-4427 FAX ~88-794~ <br /> <br />( )~aSLD~ ~0¢O~,U~CTA~ ( )O~ ( )~LaCr~C <br /> <br />Ib=si~al:Fir'atlO0 ~,o~zeof x ~.~.00 - $ <br /> Formal IO0~ap~o$OOfeez x $16.00 -$ .... <br />Commer=ial:Fi~t lO0 ~...erhciimt'~ae~of x $30.00 -$ <br /> <br />, Imlmlh~io~ Labels <br /> <br />D~elHng Pemit <br />(For N~, Single Fan~y l:)wellln&s <br /> <br />x $10.00 <br /> <br />5. FEES ****ADDENDF~ TO PERMIT 99-02573**** <br /> <br /> <br />