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8684020
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Entry Properties
Last modified
6/28/2019 8:34:26 AM
Creation date
6/27/2019 9:45:17 AM
Metadata
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Template:
Permits
Permit Address
9931 KEENE LN SE
Permit City
AUMSVILLE
Permit Number
555-19-004374-AUTH
Parcel Number
081W18C 04100
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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� <br /> . <br /> � CORP. <br /> ROTO— DBA ROTO-ROOTER SERVICE&PLUMBING CO. <br /> ~ RD.�8O55G�kBoowsaFsRnYWILSONVILLE, ORS7O70 <br /> — ° ��K� ��� � R3� <br /> � P"�"==��� (503),682-9774 FAX(5U3)085-8754 |Nvwccwumas ��"� �� u~^�� ^ u <br /> / �~� OR ST <br /> 13Q80°VVASTCoNTn#ROTOR°�]O8JQ xm: � <br /> 1- (800-438-7686) � �, "~ <br /> ' �� wvnwn�omuto�cuni ' ��'�� | / ' / <br /> ��, ' / i- / . <br /> - <br /> P.O: � �� HH uw ��-- � MM OD � <br /> numoa� i a �� L� �� � /�_ �~� � ~-' P !__ •i�� /�/ <br /> � + . `_ �� � � `' 4zt�' <br /> / ' J8oaFs - �/-----' ---- ---- '------, <br /> u/umGU�Dx�snew� ) <br /> ~ � - <br /> 2 1_�- /����• � � � <br /> � ��� -�' � E • <br /> '� /-3 •-• / �/�x ^. /` � / - ���� |�Q � � <br /> � �� <br /> � »�� <br /> \ox���`��z.. '`'� \�__ -___ / <br /> , __- ___-- <br /> |�a�s����~ /�7-�- 0�, ,-- <br /> BILLING <br /> ' PHONE:2) ___---- -- p*pwu� <br /> ' r-- -------� �------ - --- -� <br /> - THIS SERVICE WAS PF.OFESSIDUALLY . mSSIs�4Tw- ---- <br /> DESCRIPTION OF THE PROJECT AND MATERIALS TO BE USED AND EQUIPMENT TO BE INSTALLED: PERFORMED SY: <br /> --------' r) f- - (- - / ' -- <br /> --______ <br /> ________ <br /> ' ""~ ,i.„...,..„. �'/� ' / - | <br /> '»/ ` / - -_ <br /> OI\ <br /> R <br /> | <br /> I DECLINE TO HAVE I <br /> � .`' _,^, _ `, ��������` . ^,==-r�`�� ���ay-� �°.'��� !. PROPOSAL/-_� ~) "E""~Kwv^*LISTED CONTRACT <br /> - '`' ---------� � -----�---- • — --.�^�� ' DONE TODAY. /L��° <br /> '- - _ <br /> ' CAUSE OF STOPPAGE <br /> ' I 0 ROOTS [1]GREASE 0 OTHER .0 UNKNOWN <br /> ��`—� ' -- ������ ��� �— ACCESSED VIA <br /> WORK ORDER AUT <br /> DESCRIBED <br /> FORTH ON THE SERVICES SUBJECT,TO ALL THE --'-AND CONDITIONS SET <br /> FACE AND REVERSE SIDES HEREOF.I ACKNOWLEDGE THAT| <br /> WAS GIVEN A VERBAL ESTIMATE AND FURTHER ACKNOWLEDGE THE ESTIMATE E.M/L 0 Flor <br /> MAY | --------- <br /> OWNER <br /> YOU.COMPANY� MY DEFECTIVE EQUIPMENT; ' ' � IA G=LiNE LOCATION 3=ADDL pmrvpEs <br /> OR CLEAN-OUTS|ALSO CERTIFY THAT {AMAUTHORIZED TUURDERAND � { J~�U��G / <br /> APPROVE TH0WORK "*v 'o~pnoxu� n~�n�xmow u~unwa <br /> • --tii -'� =VIDEOmo�onow =MAIN LINE <br /> ___ _ _-_� |p '_ 1 <br /> __ _ ___ ______ ___ <br /> LABOR <br /> [QUANTIFY ..._ DESCRIPTION ' PART# SELL PRICE CODE 41- I- DESCRIPTION SELL PRICE <br /> ���� ������ ��� ��� � ���� <br /> '' � ` • <br /> - _-�__'___'--___ '_ _- __ -_--- � - <br /> , --'----�- --- ----� ------- >- '------- <br /> 1 |/ �� <br /> ' -- -- -- � -r-' -- - �^ <br /> , TOTALS �c�L�����- | Z <br /> RESIDENTIALav^n^w�c LABOR COMMERCIAL GUARANTEE <br /> p^,wcwr <br /> ` ! - . <br /> �umw LABon$ ____ , <br /> U 120 DAYS MAI*SRANCH LINE O 30 DAYS riCHECK mu ^ pmno$ - -- / <br /> _-�[»'-[ 60 DAYS mw°u��nu�n��= [ mm /-lnC�--- - - - - |-[ -- I ncono^no <br /> PRODUCTS] 10 DAYS TOILET STOPPAGE ] ,o�» Am°nR�"o"« �� <br /> | ------yoo ' F�msrmo�y <br /> El 90 PLUMBING REPAIR |[] 90umo | �� OTHER ' _` <br /> -----'---- - o*aour�^~m�c�ncm1.5%PER MONTH. ' <br /> O 1 YEAR ' PLUMBING REPLACEMENT 'wm,�s�^"s".»�m�� nm$---_-_ _L �� <br /> [] � `D�* . OTHER __ --\ DAYS ___ ')/ CUSTOMER A S35.00 PEOCESSiNG�scom�w'=ucwmm�" FEE. INVOICE � <br /> ,I No GUARANTEE: - _____ ___� PAYMENTRECEIVED u ____ ____� AMOUNT '-- - <br /> -- ---- ------ ------ - <br /> SIGNATURE: ______.____ _ ___�_�__ __ PRINT __� -_ --- - _' <br /> / ovxuzoono/warmo�voms |AGREE roxuu <br /> OFnnsuxxnosxsrso HAVE AGREE TO THESEE BINDING TERMS nwREVERSE TERMS ON THE BACK OF THIS FORM AND I AGREE THAT THE WORK WAS COMPLETED TO MY SATISFACTION. <br /> ' <br /> REV.7/09 <br /> —._ --- <br />
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