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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 Hours: 8:00-4:30 * Phone,' (503) 588-5147 · 24-HR Inspection Line: (503) 585-7904 <br /> <br /> PLUMBING APPLICATION <br />DATE/T[HE ~7/18/95 12:~6 STATUS <br />PERHIT H~ ?§-14301 APPLIED : 07/18/1775 <br />~CCUPANCY <br />PAGE 1 TO EXPIRE : 01/14/lY96 <br /> <br />WORK DESC : 10~' WL & SL <br /> <br />S]"fE ADDI:~ESS .~ 13,015 DALY RI) NE AR <br />CROSS STREET : ARNDT RI) NE <br /> <br />PARCEL NUMBEI~ <br />OWMER NAHE <br /> <br />APPL:~CAI'IT <br />NAME : BURGESS~DON R ~ KATMLEEN fl <br />ADDRE~ : 2~881 SCMIJLTZ RD NE <br /> PORTI_.AND= 0R <br /> <br /> PHONE : <br /> <br />CDNTRACTOR : BURGESS~DON R & KATHLEEN M <br />PMOI,tE : <br />UMBER : <br />PNOI,]E : <br /> <br /> Description <br /> <br /> 1 Feet sewer li~e charge <br /> 1 St6~te surch~rge <br /> 1 Refund <br /> <br /> 97002 <br /> <br /> OCCB: <br />LICENSE: <br /> <br />CITY: MARIOM COUNTY <br /> <br /> Assessed 'fees : 52.50 <br /> Ad jus~ef~ts : .00 <br /> Total 'fees : 52..50 <br /> Tot~.l. PaX~'~ents: ,.~,,~- ~ ,,~0 ~'' <br /> ............................................................ : ........... B__a l a n c.[.. <br /> O01,1At I) ~7. WOOD[..EY, MAR]:OI,I COUNTY BHILDIN~ OFFICIAL / BY DS'¥ONE~ I <br /> ......... , ...,,..,. ,,., .,..., ....................... . ............... ~ ..... ~ ............ ~.. _. ........... _._ ..................... ,~ ,.-, ............. <br /> 1 <br />............... FOE OFFICE USE OWLY. TWIS ~ NOT A PERMIT ........ <br /> <br /> <br />