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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />· Office Hours: 8:00-4:30 · Phone: (503) 588-5147 ° 24-HR Inspection Line: (503) 373-4427 <br /> <br />DATE/T[HE <br />TYPE <br />OCCUPAI,ICY <br /> <br /> PLUHBIHG PERflIT <br />: ~7/89/96 ~7:57 <br />: Resident. addition/alteration <br />: R-3 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS : <br /> 9824 KEENE LN SE AM <br /> <br />CROSS STREET : SHAW RD SE <br /> <br />PARCEL NUMBER : 5&117-800 <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />PLUMBER <br /> PHONE <br /> <br />: ADD/ 5-FIX; (BUILD <br /> <br />: LORANCE, TERRY& MARILYN <br /> <br />: CARPENTER KURT <br />: 28675 FERRY ROAD SE <br /> <br /> $~AYTON. OR <br />: 829-3338 <br /> <br />: CARPENTER KURT <br /> <br />PERHIT HO : 96-aSBS1 <br />STATUS : ISSUED <br />ISSUED : ~7/B9/1996 <br />TO EXPXRE = ~1/BS/~997 <br /> <br />CITY: MARION COUNTY <br /> <br />PROPERTY LOCATOR: 881W19B 88388 <br /> ZONE: AR <br /> <br />OCCB: 8848394 <br /> <br /> : CARPENTER,KURT <br /> : 583-859-3338 LICENSE: 4382JP <br /> <br />Units Description Fee <br />1 PluMbing base ?ee 28.88 <br />5 Fixture alterations 58.88 <br />1 State surcharge 3.58 <br />1 Refund .88 <br /> <br /> Assessed fees : 73.58 <br /> Adjustments : <br /> Total fees : 73.58 <br />PAYEE: CARPENTER KURT Total payments: 73.58 <br /> Balance due - <br /> WHITBECK,STEVEN . <br /> <br />THIS PERNIT IS HOH-TR~HSFERABLE ~ EXPIRES 188 ~YS FRON ISSUE DATE IF WORK HAS <br />HOT COHHEHCED, OR IF CGNSTRUCTIOH CEASES FOR A PERIOD OF 18B D~YS. OR IF WORK <br />FAILS TO NEET ALL RE~UIRENEHTS OF STATE LAWS AHD N~RIOH COUHTY ORDINANCES. UPON <br />WRITTEH REQUEST, OHE SIX (6) NONTH EXTEHSIOH NAY BE GRAHTED. <br />SIGNATURE OF APPLICANT: <br /> <br />DOHALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY DSTOH~ r)~'' <br /> <br /> <br />