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MARION COUNTY BUILDING INSPEC]ION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 · Salem, Oregon 97301-3670 <br />Ofltce Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br />DATE/TIHE <br />TYPE <br />OCCUPNqCY <br /> <br />WORK DESC <br /> <br />: e4/17/76 <br />: Resident. <br />: R-3 <br /> <br />: 1-BACKFLOW- <br /> <br />SITE ADDRESS : <br /> <br />CROSS STREET : <br />PARCEL NUMBER : <br /> <br />OWNER NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PLUHBING PERHIT <br />lg:25 PERMIT NO : 96-g2592 <br />addition/alteration STATUS : ISSUED <br /> <br />ISSUED : ~4/17/1996 <br />TO EXPIRE : 1~/14/1996 <br /> <br /> PHONE : <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />PLUMBER : <br />PHONE : <br /> <br /> 1 <br /> 1 <br /> 1 <br /> <br />CITY: AUMSVILLE <br /> <br />328 8TH ST AM <br /> <br />CLEVELAND <br />98812-861 <br /> <br />PROPERTY LOCATOR: 082W25DB89488 <br /> ZONE: RS <br /> <br />: TUCKER, STANLEY <br /> <br />: TUCKER, STANLEY <br />: PO BOX 1296 <br /> AUMSVILLE,OR <br /> <br />749-3186 <br /> <br />97325 <br /> <br />: TUCKER, STANLEY <br /> <br />OCCB: <br /> <br />LICENSE: <br /> <br />Description <br /> "Plumbing base fe~ <br /> Lawn vacuum breakers <br /> State surcharge <br /> Refund <br /> <br />Fee <br /> <br />20.B8 <br /> 4.58 <br /> 1.2S <br /> .00 <br /> <br /> Assessed fees : 25.73 <br /> Adjustments : <br /> Total fees : 25.73 <br />PAYEE: TUCKER, STANLEY Total paxments: 25.73 <br /> Balance due : .00 <br /> <br />~S PE~RHE~IS ON~R iFTRAN~F'ER*BLE *ND EXP!RES 1" :~YS ~ROH I$~ ~TE IF <br />"ITTE~ RE~EST, BE ~; (6) R~H ~.~~ ~TE~ <br />SIGNATURE OF APPLICANT: ~_~_ <br /> <br />DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY DSTONE <br /> <br /> <br />