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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C * Salem, O~gon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: [503) 588-5147 ° 24-HR Inspection Line: (503) 373-4427 <br /> <br />WORK DESC <br /> <br />BYTE ADDRF$S <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PLUHBING APPLICATION <br />DATE/TIHE : 118/25/97 15:41 ACTIVITY HO : 97-116648 <br />TYPE : He~ Residential STATUS : ~PPLIED <br />OCCUPANCY : R-3 APPLIE9 : ~8/25/1977 <br /> TO EXPIRE : ~2/21/197g <br /> <br /> PD FOR SL, WI. <br /> 11811 ROCKY WAY NE AR CITY: MARION COUNTY <br /> 23888 BLK OF $CHOLTZ RD <br /> <br /> 48815-808 <br /> CHIPP$ BE'[TY <br /> <br /> PNOhE : <br /> <br />CONTRACTOR : <br /> PHONE : <br /> <br />PLIIMBER,. : <br /> PHONE : <br /> <br />CHIPPS BETTY <br />23791 SCHULTZ RD NE <br />AIIRORAw FIR <br /> <br />678-~479 <br /> <br />CHIPP$ BETTY <br /> <br />Units Description <br /> <br /> Feet' sewer line charge <br /> 1 State surcharge <br /> 1 Refund <br /> <br />97882 <br /> <br />OCCB: <br /> <br />LICENSE: <br /> <br /> Fee <br /> <br />2.58 <br /> <br />Assessed fees : 52.50 <br />AdjustMents : .88 <br />Total fees : 52.58 <br />PAYEE: CHIPPS BET'~ Total payments: 52.58 <br />Balance due . .08 <br /> <br />THIS IS NOT A PF. RHIT. IT IS THE R'ESPDHSZ~ILITY DF" TNE APPLICANT TO ASSURE <br />THAT ALL HECES~Y INFOR~TION IS PROVIDED Al, ID FEES PAID ~EFORE A PI~RHIT HAY <br />BE ISSUED. <br /> <br />SIGNATURE OF A~PLICANT: <br /> <br />DONALD E. WOODLEY, MARION COLINTY BUILDING OFFICIAL / BY CLYNCH <br />.................................. FQ~ OFFICE USE ONLY ...................... <br /> MAP: ] ZONE: AR PROPERTY LOCATOR: 031W32D 01800 <br /> <br /> PLAN REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />