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MARION COUNTY BUILDING INSPECTION <br /> COMMUNrrY DEVELOPMENT CENTER <br /> <br /> 285 Chumh 8tre~ NE · Room 132 · ~lem, Oregon 97301-3670 <br />Offloe Houri: 8:00-4:~0 · Phone: (~03) ~8~S147 · 24-HR Inipl~tlon Line: (503) 373-4427 <br /> <br />DATE/TIHE <br />TYPE <br />OCCUPANCY <br /> <br />WORK DESC <br /> <br />SITE ADDRESS : <br /> <br /> PLUHBING PEI~ZT <br />'- 84/22/96 15:49 <br />: Resident. addition/alteration <br />: R-3 <br /> <br />: ALTER; :Z-FIX <br /> <br />12851 IRISH GLEN LN SE SU <br /> <br />CROSS STREET : ANDERSON <br /> <br />PARCEL NUMBER : 56228-888 <br /> <br />OWNER NAME : KOENIG,LARRY <br />APPLICANT ~ <br />NAME : JUDSONS INC <br />ADDRESS : PO BOX 12667 <br /> <br /> SALEM, OR <br /> PHONE. : 363-4141 <br /> <br />CONTRACTOR : JUDSONS INC <br /> PHONE : 363-4141 <br /> <br />PLUMBER : JUDSON'S INC <br /> <br />PERi, IT NO = 96-82735 <br />STATUS = ISSUED <br />ISSUED : 84/22/1996 <br />TO EXPIRE = 18/19/1996 <br /> <br />CITY: MARION COUNTY <br /> <br />81288 <br /> <br />PROPERTY LOCATOR: 881W28 <br /> ZONE: EFU <br /> <br />97389 <br /> <br />OCCB: 8834684 <br /> <br />PHONE : 363-4141 LICENSE: 24-22PB <br /> <br /> Units Desc~.i.ption Fee <br /> ' 1 PluMbing bas~ fee ~ <br /> 3 Fixture alterations 38.88 <br /> I State surcharge 2.58 <br /> I Refund .88 <br /> <br /> Assessed fees : 52.58 <br /> Ad justMents : .88 <br /> Total fees : 52.58 <br />PAYEE: JUDSONS INC Total pay. ments: 52.58 <br /> Balance due : .88 <br /> <br />THIS PERNIT IS NON-TRANSFERABLE AND ~pIRES 188 ~YS F~ ISS~ DATE IF W~K ~S <br />HOT COH~ED~ OR IF ~STR~TI~ CE~S F~ ~ ~IOD ~ 18~ D~YS. OR IF ~RK <br />F~ILS TO HEET ~LL ~UI~HTS ~ STATE L~ ~ ~RI~ ~TY ORDIH~HCES. UPOH <br />~ITTEH REGUEST~ O~ SIX (~) H~TH EX~HS~OH ~Y ~E gR~HTED. <br /> <br />SIGNATURE OF APPLICANT~ <br /> <br /> <br />