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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suits C · Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br /> PLUMBIHG ~PPLICATIOH <br />D~TEITII~ m 07/21/97 13m~5 ACTIVITY HO -' 97-B5521 <br />~]PN4CY ~ ~_~ident. addition/alteration 8T&TUS = &PPLIE]) <br /> ~M~'LIED ~ B7/21/1997 <br /> TO EXPIRE : B1/17/1998 <br />gORK DESC : teaFT WATER LINE <br /> <br />SITE ADDRESS <br />CROSS STREET <br /> <br />PARCEL HUMBER <br />OWNER NAME <br /> <br />: 6781 PETER RD SE AM <br />: BROWNELL <br /> <br />: 7528~-~70 <br />: DRURY DARK ,JR & DONNA <br /> <br />CITY: MARION COUNTY <br /> <br />APPLICANT <br />NAME : DRURY DARK JR & DONNA <br />ADDRESS : 6781 PETER RD SE <br /> AUMSVILLE <br /> OR 97325 <br />PHONE : 749-1789 <br /> <br />CONTRACTOR : BRURY DARK JR & DONNA <br /> PHONE : OCCD: <br /> <br />PLUMBER : <br />PHONE : LICENSE: <br /> Units Description Fee <br /> 1~0 Veer water line charge 20.0g <br /> 1 S~ate surcharge 1.0~ <br /> I Refund <br /> <br /> Assessed fees : 21.00 <br /> Adjustments : <br /> Tofa] fees : 21.80 <br />PAYEE: DRURY DARK JR & DONNA Total paxments: 21.~0 <br /> Balance due : .0~ <br /> <br />THIS IS HOT ~ PERMIT. IT IS THE RESPONSIBILITY (IF THE N~LICNJT TO ASSURE <br /> <br />~ ,,,~,~ --'T~!AT~!'~DHECESSARY INFORNATIQN IS ~Z~ ~ ~ PAZO ~F~[ A PERHZT ~Y <br /> <br />***************************************************---************************* <br />DOH~LD E. ~00DLEY~ fl~R[0H COUNTY 8U[LD[H~ 0FF[C[~L / ~y H~ULL <br />................................. FOR 0FF~CE HSE ONLY ...................... <br /> <br /> flAP: ZONE: AR PROPERTY LOCATOR: ~SiW19C g31~ <br /> <br /> PLAN REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />