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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/TIHF <br />TYPE <br />OCCUPANCY <br /> <br />bi(IRK <br /> <br /> PLIMB~HG P~RH~T <br />= Resident. add~on/al~era~Dn <br /> <br />: 2 FIXT, WL~ $[ FOR 8TORAG£ BiD6 <br /> <br />SITE <br /> <br />Tee flTCHAEL WY AM <br /> <br />CR~SS ~TRFFT ~ ~TH ST <br /> <br />PARCFI NIIMRFR : <br /> <br />OW~ER HAMF : <br /> <br />57799-ee7 <br /> <br />WEFSF,KFNNETH R <br /> <br />APPI.ICAHT <br />NAMF : LLICAS MARK A <br />A~DR~BS = PO ~OX 751 <br /> <br /> AIIMHVI~LE, OR <br /> PHONE : 749-384& <br /> <br />CONTRACTOR = LUCAS MARK A <br /> PHONE : 749-5846 <br /> <br />PLUMBFR <br /> PHONE <br /> <br />PERNIT NB : 96-11~91 <br /> <br />!111/20/199& <br /> <br />EXPIRE : 82/1~/1~7 <br /> <br />CITY: AUMSVILLE <br /> <br />PROPFRTY LOCATOR: e82W25ABOe403 <br /> ZONE: <br /> <br />973?5 <br /> <br />OCCB: e095644 <br /> <br />U~itI Description Fee <br /> PluMbing base fee <br /> 2 Fixture alterations 2B. ee <br /> tee Feet wa~er line charge 2e. eo <br /> lee Feet sewer line charge <br /> 1 ~tate surcharge <br /> 1 Refund .Be <br /> <br /> Assessed fees t 94.5~ <br /> AdSustments : .Be <br /> Total fees : 74.5B <br />PAYFF: LUCA~ HARK A Total paxments: 94.5e <br /> Balance due : <br /> <br />THZS PERHZT ZS NON-TRANSFERABLE AND EXPIRES 1Se ll~y$ FRO/~ <br />~T ~ ~ IF C~TR~TI~ ~ASES F~ R ~iOO ~ 1~ ~YS. ~ IF ~K <br />FR~I.S TO ~ET ALL ~RE~NTS ~ STRTE LR~D ~ C~TY ~D~ES. UPOH <br /> <br />SIGNATIJRE OF APPLiCAHT: <br /> <br />OBNAI,.O ~ biOOOI.EY. MARIOH COOHTY ~III!.DING OFFIglAL / BY HBULL <br /> <br /> <br />