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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 />WORK T~F,~P, ; lJ AlT F]XTURER/ $0fl~ W[~ 100~ SI <br /> <br />~TTE AOORESfi <br /> ?~415 HIIRRAR~ CUTOFF NF AR <br /> <br />CRD~S fiTRFFT = TNTFRfiFCTTON/H~O ;~IJT~FF ~NO EHI.EN RO <br /> <br />P~RgF[ NUMRFR ~ 4~87-~ PROPFRTY [O~ATOR= ~41W14A <br /> Z~E~ EFU <br /> <br />OWNFR NAMF <br /> <br />APPI.TCANT <br /> NAHF <br /> AO1)RF.,~,~ <br /> <br />PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />PtUMRFR <br /> PHONE <br /> <br />= VANI~FII,R WAYNE & RARRARA E <br /> <br />: CAN~Y PIIIMR~N~ <br />: 8~5 NE 4TH <br /> <br /> CAN~Y. OR <br /> <br />~ CAN~Y PLUHR~NG TNC <br /> <br />: ~ANBY PIIIMR~N~ THC <br /> <br />Plumbing ha~e fee <br />F~xture a)ferat~on~ <br />Feet wa~er line charge <br />Feel ~ewer ]~ne charge <br /> <br />Ref~nd <br /> <br />CITY: MARION COUNTY <br /> <br /> OCCB: 0033572 <br /> <br />LICENSE: 3-7PB <br /> <br /> Fee <br /> <br /> 2~.00 <br />110.~0 <br /> ee <br /> 9.90 <br /> .~0 <br /> <br /> Assessed fees : 189.00 <br /> Adjustments : .~0 <br /> Total fees : <br />PAYFF~ CANRY PtlIMRTN(; TNC Tnta] payments: 187.00 <br /> Balance due <br /> <br />THIS PERfl[T IS NI~I-TR/AflSFER~BLE~N~ EXPIRES 18~ ~AYS FROH ISSUE 9~TE IF ~ H~ <br /> ~AgFg <br /> i . - A~K~NTS gTAT ! A 4 TY ~DI~5, UP~ <br />SIGNATURE OF APPI.ICANTa <br /> <br />I)ONAI.O E W~OOI.EY~ MARTON CfllJHTY ~IJTI.OIN~ OFFICTAL / BY L:[DAVIS~ <br /> <br /> <br />