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`� MARION COUNTY BUILDING INSPECTION <br /> Y <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)373-4427 <br /> • ;.,11ATF./T7ME• -' 09/16/97, .. a i5: SFFTtC;P l It <br /> ' <br /> ;.. _ <br /> TYPE' :-� � ;,7; 'PERMIT AO :• �►7.=95972 .. <br /> :: ST •: ]ISSUED ' <br /> • <br /> :_: :k -.R-3:. IS :, 18/25/1997, <br /> .. ., . <br /> .�' .;;• TQ;:>`XPIRE . .•�.: �88/25/1998: <br /> '°1 PSC. • - : ALTERATION.FOR NEW 2/BED DWFI,.I • <br /> :: ...._._. . .. .. <br /> ,RTTE.,AADRF5S . CITY: MARION COUNTY <br /> 3:464 BUENA VISTA RD S ..IF <br /> SIIRDTVISTOM LOT: .• BLOCK: <br /> ' .yCROSS STREET : SIDNFY ' <br /> • <br /> PARF..FI. NIIMRFR : A7491-000 PROpFRTY LOCATOR:..8931118 01400 <br /> FAt2GFt. S'TTE .. : 40.@AG :' .:•TONE. NFU <br /> TJWNF.R. . . . _ +..PURVIS CHARIER <br /> ;• ,ALiTH`AGENT" : PLURVIS CHARLES ' <br /> ADDRESS• ' , 6294 STfNFHXI.L AV:S. <br /> - SALEM <br /> OR' , 97306 <br /> '-'-'PHONE . :. : 362-1166 <br /> '"1tF.0 'INSTALLER :. DFO LICENSE:. <br /> "..-"PHONE : 5R1-5969 .. <br /> INITTAL. SYSTEM: • <br /> •". SYS-TEM: SAND FILTER,. <br /> . 'Units • Descrirytinn Fee <br /> .... 1 • AltPratI.on 34U.0ii <br /> t. ..... DFO'R�.trrhatge. :. 30.00 <br /> _ - -. AaaPsspd fees :. ., 378.64E <br /> Adjustments 00 <br /> : .. :_. ::. .. .. Total. .fees 378.66 <br /> Total paynents: . 378.BO <br /> <:.. ..:."PAYEE:- P.LIRVIS GHARI..FS,, <br /> :.. _:. BaTance:.due'.... .:p' .00 <br /> ... ......********:kiiii i i**:K1C*sl ***********************************:1 *******:k:I************** C <br /> : ;,,, THIS PERMIT IS NON-TRANSFERABLE.,AND EXPIRES 365.DAYS..FROM ISSUE DATE IF WORK HAS NOT <br /> :.Cw■p1w1�NM9) <br /> ' (}.4w:IF-:WORK:'FAILS TO HEFT ALL-RF UhI l.E,E '0 ;QF'-STATE_'LAWS AND: MARION COUNTY <br /> L <br /> i <br /> SIGNATURE OF APPI_-8 ANT: : <br /> *** tY*******'****** *********************T** ** ************ * **T************* <br /> •6, . _ ...DONAI..D E WOODI,FY, MARTON COUNTY DIIiI.DING OFFICIAL / BY:PMUNRO <br />