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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: 5:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br />PLUHBING APPLICATION <br /> <br />BATE/TIHE <br />TYPE <br />OCCUPAHCY <br /> <br />: ~)1/24/77 12:32 <br />: Ne~ Residential <br />: R-~ <br /> <br />ACTIVITY NO = 97-~5474 <br />STATUS : APPLIED <br />hPPLIED = ~1/24/1997 <br />TO EXPIRE = ~7/23/1997 <br /> <br />WORK DESC : WATER LINE <br /> <br />SITE APDRESS : 2~051SCHULTZ RD NE AR <br />CROSS STREET : FARGO <br /> <br />PARCF[ NUMBER : 48226-808 <br />OWNER NAME : MOORE, ROBERT J A <br /> <br />APPLICANT <br /> NAME : <br /> A~RESS : <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />P~tlMBER <br /> PHONE <br /> <br />MOORE,ROBERT ,J A <br />23051SCHULTZ RD NE <br />AORORA <br />OR <br />678-1256 <br /> <br />MCMINN¥ILLE FACTORY HOMES INC <br />472-4148 <br /> <br />CITY: MARION COUNTY <br /> <br />1.00 <br /> .00 <br /> <br /> OCCB: ~020799 <br /> <br />LICENSE: <br /> <br /> Fee <br /> <br />Un, ts Description <br /> <br /> State surcharge <br /> I Refund <br /> <br /> Assessed fees : 21.80 <br /> Ad justMents : .00 <br /> Total fees : 21.00 <br />PAYEE: MOORE~ROB~RT ,J A Total paxl~ents: 21.08 <br /> Balance ~ue : .00 <br /> <br />THTS IS NOT A PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL H£CE~?ARY IHFORflATION IS PROVIDED AND FEES PAID BEFORE A PERHIT HAY <br />BE ISSUED. <br /> <br />SrGNAFIJRE OF APPLILANT. : ............. <br /> <br />T)DNAI.~ E. ~00~)LEY~ HARION COUNTY ~U~L.~ZNG OFFICIAL / BY M~ULL <br />...................................... FOR OFFICE USE ONLY ....................... <br /> <br /> NAP: ZONE: EFU PROPERTY LOCATOR: 041W05 01580 <br /> <br /> PlAN REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />