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APPLICATION FOR COMMERCIAL PLUMBING PERMIT/PLAN APPROVAL
PERRY COUNTY HEALTH DEPARTEMT
212 S MAIN ST P.O.BOX 230
NEW LEXINGTON, OHIO 43764
PHONE: 740-342-5179
SITE ADDRESS:
FAX: 740-342-5540
PLUMBER:
CITY:
TOWNSHIP:
PLUMBER
PHONE:
BUSINESS
NAME:
PLUMBER
ADDRESS:
OWNER
NAME:
MAILING
ADDRESS:
CITY:
STATE:
ZIP:
REGISTRATION
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