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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE <br />Office Hours: 8;00-4:30 · Phone: <br /> <br />DATE/TIME : ll/17/95 12:22 <br />TYPE : New Residential <br />OCCUPANCY : R-~ <br /> <br />WORK BESC, : NEW I)WEL, L, ING/PLB(; <br /> <br />SITE. ADDRF. So r, <br /> <br />1462~; EHI,.EN RI) NE AR <br /> <br />CRO~S S'I'REI{'/' : N/A <br /> <br />OWNER I,IAME <br /> <br />APPLICANT <br /> NA~E <br /> ADDRi:J:SS <br /> <br /> PHONE <br /> <br /> PHONE <br /> <br />PLUMBB~R <br /> PHONE <br /> <br /> Bescriotio~ -- <br /> "-l~i'~-~i ~- ~ e e <br />1 State surr['arDe <br />I Refund <br /> <br />PLUHBING <br /> <br />PROPEET <br /> <br />9781~ <br /> <br />- Room 132 -Salem, Oregon 97301-3670 <br />503) 588-5147°24-HR Inspection Line: (503) 588-7904 <br /> <br />PERMIT <br /> <br />PERHIT NO <br />STATUS <br />ISSUED <br />TO EXPIRE <br /> <br />95-1754~ <br />ISSUED <br /> <br />LOOATOR: <br /> <br />OCCB: <br /> <br />LICENSE: <br /> <br />7,?6 <br />.00 <br /> <br /> ;sessed fees : 162.98 <br /> ustlqe~ts : ,80 <br /> fees ,, l&,_,, 98 <br />,i'a ]. paxments: :i, 6~.. 98 <br />PAY~E: L.EGGETT~WILLIAH & BETS~ lance ~lue : ,,~)~ <br />***************************************** *******~:~************~*, ~ ****' ****~**>~ >~>b~, ' .... . ' <br />THIS PERHIT IS HOH-TRAHSFERABLE AND EXP:' 18~ DAYS FROH ISSUE DATE IF WORK HAS <br />HOT COHflENCED~ OR IF COHSTRUCTIOH CEASES A P~IOD OF 188 DAYS. OR IF ~ORK <br />FAILS TO ~EET RLL REgUIREHEH~S OF STATE::: ~ ~RIOH COUHTY ORdINaNCES. UPON <br />~R[TTEN RE~UEST~ OHE SIX (6) HOHTH , iON H~Y ~E ~R~HTE~. ~ <br />SI(;I,IA'~'URE OF APPI,,,ICAJtT= ~ <br /> <br /> E <br /> <br /> <br />