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Appl, Recd: ..... <br /> <br />Date'. 5:00 P.M... <br /> } of PermJ <br /> <br />Phone;.,. <br /> <br />Plumbing Perm t App cat on <br /> <br />Plbg. Permit <br /> <br /> .Sec,' ' Twnshp-,/ 'Rge.-- <br />Address; <br /> <br />Plbg. Inst~ <br /> / <br /> <br /> ,.~ , ~ . , , TOTAL AMOUNT <br /> <br />, Nev~ Constructlon'.(each llxt;,re), ..... ' ...... i,, / ~, , ,, .... ": ....... , $$ 00 <br />Fortheflrsll0Ofeetorfractionthe~0f ,,,,~ ,:' ~ , .~ . ...... ~ ~ ~ ~'"" ~ ~ ~ $15.00 ., <br />Alle~t ohs (each fixture) <br />Lawn ~prJnkllng System · .' · · <br />To and including e~ch protect ve der ce ' .............. 5.00 <br />~ Please re~um Comp ere app ieafion <br /> <br />,rant thai::l C~mPlY With the provisions 0fORS 701 '005to 701 125 beoauSe : <br /> <br /> ] ~ed and=iii m:berl or : : :': : <br /> <br /> <br />