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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 />PLUHBIH~ PERHIT <br /> <br />DATE/TIHE <br />TYPE <br />OCCUPAIqCY <br /> <br />: ~5/B8/96 ,11:49 <br />: He~ Commercial <br />: B-2 <br /> <br />WORK DESC <br /> <br />: 20-FIX; 300'WL; 200'SL; 2-BACKFLOW DEVICE <br /> <br />SITE ADDRESS : <br /> <br />14J23 AVIATION WY NE AR <br /> <br />CROSS STREET : AIRPORT RD TO AVIATION WY; AURORA AIRPORT <br /> <br />PARCEL NUMBER : 40159-815 <br /> <br />PERMIT HO : 96-83169 <br />STATUS : ISSUED <br />ISSUED : ~5/~8/1996 <br />TO EXPIRE : 11/~4/1996 <br /> <br />CITY: MARION COUNTY <br /> <br />PROPERTY LOCATOR: 041WO2D 00600 <br /> ZONE: P <br /> <br />OWNER NAMF : COLUMBIA AVIATION COUNTRY CLUB <br /> <br />: BENNETT, VERA/COLUflB~iA AV.ASSOC <br />: P 0 BOX 6~ <br /> AURORA, OR <br /> 97002 <br />: 503-678-5152 <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />:BENNETT, VERA/CO[.UMBIA AV.ASSOC <br /> <br />OCCB: <br /> <br />PHONE <br /> <br />LICENSE: <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />Fee <br /> <br />PLUMBER <br /> PHONE <br /> <br />Units Description <br /> i ' Plbmbin~ base f6e <br /> 2~ New fix}utes <br /> 300 Feet water Iine charge <br /> 200 Feet sewer line charge <br /> 1 Lawn vacuum breakers <br /> I Other backflow devices <br /> ~ State surcharge <br /> I Refund <br /> <br />200.0~ <br />55.00 <br />45.00 <br />4.58 <br />10.00 <br />16.73 <br />.00 <br /> <br /> Assessed fees : 351.23 <br /> AdSustMents : .00 <br /> Total fees : 351.2~ <br />PAYEE: BENNETT, VERA/COLUMBIA AV.ASSOC Total.paxments: 351.23 <br /> Balance ~ue : .00 <br /> <br />THIS PERMIT IS HO#-TRAHSFERABLE AHD EXPIRES 18~ DAYS FROH ISSUE BATE IF MORK HAS <br />HOT COMHEHCED, OR IF COHSTRUCTION CEASES FOR A PERIOD OF 18~ DRYS, OR IF MORK <br />FAILS TO HEET ALL REQUIREMENTS OF STATE LAgS AHD HARIOH COUNTY ORDIHANCES. UPOH <br />WRITTEH REQUEST, OHE SIX (&) MONTH EXTEHSIOH I~Y BE GRANTED. <br /> <br />SIGNA'rt!RE OF: APPLICANT: .............................................................. <br /> <br />DONA[)') E WC~CitlLEY~ MARION COUN'rY BU:[[.DIN(; OFFICIAL / BY Ds*roM <br /> <br /> <br />