HomeMy WebLinkAboutPermit Plumbing 2019-10-07LA/97/2A19 LB:39 l'541'6889272
Plumbing Permit Application
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This permit is issued under OAR 9lE-7g0-0060. pcrmit3 are issucdcxplrc lf work i.s not started within tgf dnys o[issuancc or lf wOfk
only to the penon or contractor dolng the work. permitl
is suspcnded for It0 deys.
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St?cct.oR 974?? . rrH(541)72&3?53 .1 )?26-16E9
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ONLY.USE
Date:o ?Crrv or SPRTNCl'IELD. ORt GoN
At
Yesverified?No
flwoSanitationverified?Ycs
O Rcsidcntial E Commercial
Job sirc address:
TExlot.:
t-d
Statc:d
Reference:
N
Address:
7
Fax:
E-mail
State:ZIP L
BCD license n0,;
Btrcines.s narnei
CCB liccnse n0.:
Addre.ss:
E-mail:
license no.P ,,
Priil namc;
Oll€- Or
Descrfption Qty:Cost' ee,
$
I
firc
02.00
.00
of
to lc.lrcrwalcr $
o(hnr
D
$
$
s
.Minimum lrce
Each additi onal bothioom
I 00 fcet
bibi. tce
I kitchcnborhroomi I ,/itst
lines,ho,tc
maker,
anddralns rain4rain'
3 ,60 to 7,200 lieetsquare
Men ufacturcd
Ncrr
2 baduooma/l
1 kirchcn
Each kitchen
0to tber
I to 3.600 ftet
7.201 fect and
,t
06.00 ,[
I 06.00
$of
$
$
McdlcrJ
$
$
$I
$
(
t
Esch edditionnl Ihsprcrion:
nfhrs,(no.x l'ee PCr
x
Erch lirture.
Stonn
Euch fixtlre
fixrures
Minimurn fee
r02.00
I 00'rlatcr line
and
$
Enlcr volue of inslal lation and
vojuc.
fceEntcr Onbased andinsslJlasioo
(A) Entcr subrcat ofubovc fees(Miaimum Pcrrnit Fee
$Entcr l2o/o L2x s
Fcc (1n/n LA]).t
feesTOTA-L and
la$ cdiro.l 7/l/2019 bjoner
2
P",-it oo., I v7q3
\1
[6t3.00 $
;1J2.00 s
s
fee
fcc to