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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/TIldE <br />TYPE <br />OCCUPAI, E~Y <br /> <br />WORK DES[; : <br /> <br />SITE ADDRESS : <br /> <br />CROSS STREET : <br /> <br />PARCEL NUMBER : <br /> <br />OWNER NAME' : <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONF : <br /> <br />CONTRACTOR : <br /> PHONE : <br /> <br />PLUMBER <br /> PHONE <br /> <br /> PLUHDIHG PERMIT <br />: ~8/27/96 11:88 <br />: Commercial addition/alteration <br />: D-2 <br /> <br />ALTER/ 2 FIX; RECONNECT 1-FIX <br /> <br /> 185 BREITENBUSH RD DT <br /> <br />46/HY 22-RT 22 GAS STATION /MINI MART <br /> <br />98221-388 PROPERTY LOCATOR: <br /> <br />TENNIMON,JOHN L & SHAUNA <br /> <br />TENNIMON.JOHN L & SHAUNA <br />PO BOX 537 <br />DETROIT, OR <br /> 97342 <br />503-854-~837 <br /> <br />TENN'[MON, JOHN L & SHAUNA <br /> <br />PERMIT H0 : 96--~6622 <br />STATUS : ISSUED <br />ISSUED : O8/27/1996 <br />TO EXPIRE : D2/23/1997 <br /> <br />CITY: DETROIT <br /> <br /> 105EOIBC14700 <br />ZONE: C <br /> <br />OCCB: <br /> <br /> : LICENSE: <br /> <br />Units Description Fee <br />] Plumbing base fee 20.08 <br />2 Fixture alterations 28.08 <br />I F~xture recoonections 5.80 <br />1 State surcharge 2.25 <br />1 Refund .00 <br /> <br /> Assessed fees 47.25 <br /> AdjustMents .80 <br /> Total fees 47.25 <br />PAYEF: TENNIMON, JONN t & SHAONA Total paxMents: 47.25 <br /> Balance due : <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 188 ~AYS FROH ISSUE DATE IF WORK HAS <br />MOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 189 DAYS. OR IF WORK <br />FAILS TO HEET ALL REQUIREMENTS OF STATE LAWS AND HARIOH COUNTY ORDINANCES. UPON <br />WRITTEN REQUEST, ONE SIX (6) MONTJ8 EX.T~'14SION HAY BE GRANTED. <br /> <br />**************************_********************************__************* <br />DONAI.D E B~ODI..EY~ M~RION COUHTY ~UI[_~NG [)FFTC[AI. / ~Y PS,ONE ~ <br /> <br /> <br />