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Appl, Recd- <br /> <br /> Doggie <br /> <br /> MARION COUNTY <br /> DEPT. OF BUILDING INSPECTION <br /> Senstor Builclin~; # 225 <br /> 220 High St., N.E. 2n~ Floor <br /> Salem, Oregon 97301 <br />R.H. ~/I/I,T, HROW, BLDG. ADM NISTRATOR <br />588-5147-- 588-5148 <br />5:00 P.M.~ ............ CODE-A.Phone 588-5373 ............ 8!OOA.M. <br /> <br />Type of Permit; ~'~'~' ~*' ~¢~, ~ <br />/, /. ] . <br />Address: ~)~¢:¢ ~ ~ ~ ~~ <br /> <br /> Plumbing Permit A pplicafion <br /> <br />Bldg. Permit No. 82-446 <br />plhg. Permit No, 22669 <br />Date: 6/22/82 <br /> <br />Sec. Twnshp Rge ... <br /> <br />Own Phone:, Address: <br /> <br />BId~ <br /> <br /> '" <br /> IT O CH O AL, AM <br /> TYPE OF PERMIT , NO. OF EMS FEE N EA T T <br /> <br /> Sase Price '~_. $10.00 <br /> ResidentiaI · :' <br /> : Kifc,h~n Unli Includes Water Heater ". $1§.00' <br /> 9ath unit (full) ... ' 10,00' <br /> Bath Unit (half) , 5.00 <br /> Laundry Unit ':. , · 5,00 <br /> ' Miscellaneous, Fixtures,. ' ' .- , ' 5.00 <br /> Sewer Service Line <br /> Private. Shall be ~harged per 100' or fraction thereof 10.00 <br /> Commercial · ' <br /> 1 to 50 Fixtures : .' . 5.00 ea. <br /> Over 50 Fixtures ' · 3-00 ea. <br /> Alterations & Addition;' ': <br /> Char.ged ai Commercial Rates .. <br /> Lawn Sprinkling System , . <br /> To andinciudin~ each protective device , , . '5.00 · <br /> <br />, ' FEE' <br />· :,. , · , '.1 <br />,Pleaseret[Irn complete application " ' : BIJRC:H,~RGE ' ' :: .' <br />· with: the indicated fee; ',' ' : .: .' · ,~ · · : .: . :~: , <br />,: : ,r, ,: ::,,,,: ...... :.r ........ ,..' . : "-"". TOTAL: ...... '. , <br /> <br />I agree to perform work according to '~he submitted'plans and specif.icatio~s, the laws of the State of Oregon and <br />the Ordinances of ·Marion County. Permit expires if work.not commenced ~vithin 120 days. I further expressly war- <br />rant that I comply with the provisions of ORS 701.005,to 701.125'because: <br /> <br />(X~I I ama registered and licensed plumber or ..... <br /> The a'bth0ri[ed representer ve of a registered an¢ licensed plumb ng-Contractor <br /> <br />The work will be performed bye registered and licensed Plumber <br />I am performing work on a property ! own or occu p¢ <br />Other (please speclYy). <br /> <br />SIGNATURE OF APPLICANT: '~/~,-~ ~/' <br /> <br /> <br />