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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 265 Church Street NE · Room 132 · Salem, Oregon 97301-3676 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> PLUHBIHG APPLICATIOH <br />DATE/TIME : 07/28/95 15:53 STATUS : [SSllED <br />PER~IT flO = 95-14&&2 A?PLIE~ : ~7/28/1795 <br />OCCUPANCY = B-2 <br />PACE 1 TO EXPIRE = 01/2~/~996 <br /> <br /> .,,, ...................... ,.._.,...,~ .................................. -.~ ~..,~ ............... ~ .................... ,. ............................................. ....,.,., ................. .,~, ....... <br /> <br />WSRK ~)ESC : 150 FT SEWER L]:NE <br /> <br />SITE ADDRE!gS <br /> <br />CROSS STREET <br /> <br />PARCEL NUMI)ER : <br />OWNER Ig A MI!.'_' : <br /> <br />APPL I C, AN <br /> NAME <br /> ADDF[:ESS <br /> <br />PHONE <br /> <br />CONTRACTOR <br /> PHONE <br />PLUMBB:R <br /> F:'HONE <br /> <br />9338 SILYER FALLS HY SE AH <br /> <br />HOWELL PRAZRE RI) (SHAW STORE) <br /> <br />74511.0-~]0 <br />COi'iE,~ ROGER <br /> <br />C)l'f¥: ~4AR:[ON COUN'FY <br /> <br /> SCNHAL'I'Z KEN <br /> F'd BOX 5241 <br /> <br /> ~AI_.EM,, OR ~7:~04 <br /> 588-1115 <br /> <br /> SCHMALTZ KEN <br /> 588-,:L 1 J. 5 OCCB~ 71161 <br /> <br /> LICENSE: <br /> <br />Desc r ip'iTiorl <br /> <br /> State surcharge <br /> Refund <br /> <br />2,, 2,5 <br /> <br /> A!i~esseO fees 47,,25 <br /> <br /> ;To~:al fees 47.25 <br /> :ToiTal payment's: 47,, <br /> <br />.................... Fg~ BFF~CE USE ONLY. THZS ZS NOT ~ PERffZT ........ <br /> <br /> <br />