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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 Houra: 8:00-4:30 · Phone: (503) 588.5147 · 24-HR inspection Line: (503) 373-4427 <br /> <br /> PLUMBING APPLICATION <br />I)ATE/TIHE = 88/12/96 15:27 ACTIVITY HO : 96-it6891 <br />TYPE : Resident. addition/alteration STATUS : APPLIED <br />OCCUPANCY : U-1 APPLIED : ~8/~9/1996 <br /> TO EXPIRE : ~2/g5/1997 <br /> <br />WORK OESC : 2 F'IXT~ WL., SI. FOR STORAGE BI.~G <br />S~f'~E ADI)RFSS : 788 ~CHAEL. WY AM CITY: AUMSVILLE <br />CROSS STREET : 4XH ~T <br /> <br />PARCEL NUMBER : 577~-~7 <br />OWNER NAfiE : WEESE~EENNEI'H R <br /> <br />AF'i'L ~ CAN1 <br />NAHE : i.U,AS MARK A <br />AI)i~RESS : P[I B[IX 7'51 <br /> <br />A J~4SVH_L.E ~ rJR 977~25 <br /> <br />CONI'RAC FOR <br /> <br />LUCAS MARK A <br />749-3866 <br /> <br />OCCB= 0095644 <br /> <br />PLUMBER : <br />PHOHE : LICENSE: <br /> <br /> ? ~!it',:, O I.?Lc r :;.~o~.c.m ..... Fee <br /> .......... iF ....... ' ,~']-~l;f~ ~ ng--[T~ se ~e 2~. ~ <br /> ? F"i. xtur'e al ;;erat:io~s 2~. ~ <br /> i~ Feet ~ter ]~'~e charge, 2~.88 <br /> ;~ Feet sewer ~inf. char'ge 38.88 <br /> ~ St~r~e sur charge 4.58 <br /> 1 R~ fur~d . ~ <br /> <br /> Assessed fees : 94.50 <br /> Ad jus;;ments : .00 <br /> Tot ,] )r ferns : 94.50 <br />F'AYEF:: ..UDAS tlARK A Total p~yments: <br /> Ba ) a~'~ce due : 94.58 <br />******************************************************************************************* <br /> <br />THIS IS HOT A PERMIT. IT ~S THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL HECESSARY IHFORHATIOH IS PROVIBE~ AN~ FEES PA~B BEFORE A PERMIT MAY <br />BE ISSUE~. <br /> <br />S~'¢;NATU~E' OF AF'P~ [CANE: <br /> <br />********************************************************************************** <br /> <br /> <br />