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MARION COUNTY BUILDING INSPECTION <br /> COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Sak~m, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 5885147 · 24-HR Inspection Une: (503) 588-7904 <br /> <br />DATE/TINE <br />TYPE <br />OCCUPANCY <br /> <br /> PLUNBING PERHIT <br />= ~4/16/96 lezB! PERHIT HO c 96-B18~ <br /> Re~dent. addition/alteration STATUS c ISSUED <br />~ R-3 ZSSIJED c e4/16/1996 <br /> TO EXPIRE ~ ~/~3/~996 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />: 10OFT WL <br /> <br /> 7276 SHERMAN RD SE AM <br /> <br />CITY: MARION COUNTY <br /> <br />CROSS STREET : BITTER DR SE <br />PARCEL NUMBER : 56266-B88 <br /> <br />PROPERTY LOCATOR: 881W28 <br /> ZONE: EFU <br /> <br />88688 <br /> <br />OWNER NAME <br /> <br />: BARTOSZ,DANNY <br /> <br />APPLICANT <br />NAME : BARTOSZ,DANNY <br />ADDRESS : 7276 SHERMAN RD SE <br /> AUMSVILLE, OR <br /> <br /> PHONE <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />: 749-1442 <br /> <br />: SMS MOBILE HOMES INC <br />: 472-4685 <br /> <br />97325 <br /> <br />OCCB: 8814865 <br /> <br />PLUMBER : <br />PHONE : LICENSE: <br /> <br /> Units Descript~.gn Fee <br /> '" 1BB Feet water line charge 20.80 <br /> I State surcharge 1.88 <br /> 1 Refund .88 <br /> <br /> Assessed fees : 21.88 <br /> Adjustments : .BB <br /> Total fees ~ 21.BB <br />PAYEE: BARTOSZ,DANNY Total pax~ents~ 21.88 <br /> Balance aue .. .88 <br /> <br />THIS PERHIT IS NOH-TR~ERAltLE AND EY~P!RES l~ !~¥~; FRgfi ISSUE DATE IF gORK HAS <br />HOT COflfiENCED, OR IF ~~Ti~ ~9 F~ A ~OD ~. 1~ ~YS,' ~ IF ~ <br />~I~ RE~ST~ ~E SiX (6) ~ ~T~I~ ~Y ~ ~. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E WOODL. EY, MARION COUNTY BUILDING OFFICIAL / BY HBULL <br /> <br /> <br />