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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. * Suite C · Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 * Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 3734427 <br /> <br /> PLUHBIHG APPLICATION <br />DATE/TINE = S1/S5/78 1~=13 ACTIVITY HQ = 98-B~B85 <br />TYPE = Resident. addition/alteration STATUS = APPLIED <br />OCCUPANCY : R-3 ~PPLIED : B1/~5/1998 <br />PAGE : t TO EXP[RE : 07/~4/1798 <br /> <br />WORK DESC <br /> <br />ADDRESS : <br /> <br />'[AX ACCOUMT <br />OWNER <br />APPLICANT <br /> ADDRESS <br /> <br />ADD: 4 FIX IN NFW BATHRM BU 98-00884 <br /> <br />19801 OLMSTFAD RD NE AR <br /> <br />: 72~50-170 <br />: LEBLANCA JOE & DONNA <br />: CHRISTENSEN TODD ALAN <br />: 4~2 ~t}~SEX ST <br /> <br /> WFST LINN, OR 97868 <br />PHONE ~ 656-4665 <br /> <br />CITY: MARION COUNTY <br /> <br />CONTRACTOR : CHRISTENSEt~ TODD ALAN <br /> PHONE : &5[~-46&5 OCCB: 0104394 <br /> <br />;='1 UMBER : <br />~*HONE : LICENSE: <br /> <br />Jolts Descriotio~ <br /> <br /> 4 Fixture a rera~lons <br /> 1 State surcharg~ <br /> 1 Refund <br /> <br />40.00 <br /> 3.00 <br /> .00 <br /> <br /> Assessed fees &5.00 <br /> Ad~ust~eots .00 <br /> Total fees 6~.00 <br />PAYEE: CHRI'STENSEN TODD ALAN Total payments: &~.00 <br /> Balance due : .00 <br /> <br />THIS IS HOT A PERHIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY IHFORHATION IS PROVIDE~ AHD FEES PAID BEFORE R PERHIT HAY <br />BE ISSUED. <br />SIGNATURE OF APPLICANT:~~ ...... <br />DORAl D F. WOODI, EY. MARION COUNTY BUILDING OFFICIAl- / BY CLYNCH <br /> <br />................................... FOR OFFICE USE ONLY ....................... <br /> ?IqNE: EFU PROPERTY kOCATOR: 041W19C 0080~ <br /> <br /> <br />