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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) 373-4427 <br /> <br />~PE <br /> <br />4ORK DESC <br /> <br />SITE ADDRESS <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br /> <br /> NAME <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br />PHONE <br /> <br /> PHONE <br /> <br />PLUMBER <br /> PHONE <br /> <br /> PLUM~ING PERHIT <br />~7/17/96 g7:85 PERMIT NO ~ 96-~1.513 <br />Res/dent. addition/alteration STATUS : ISSUED <br />R-3 ISSUED : 87/17/179& <br /> TO EXPIRE : 81/13/19~7 <br /> <br />3 FIXT - BR & BA ADD TO RES - L 87 - DEL MAR ADD <br /> <br />CITY: AUMBVILLE <br /> <br />925 6TH ST AM <br /> <br />OLNEY <br /> <br />90~30.-228 <br /> <br />PROPERTY LOCATOR: 082W25AC08200 <br /> ZONE: RS <br /> <br />: GA t,IA,SYLVIA M <br /> <br />GARCIA,SYLVIA M <br />P 0 BOX 1142 <br />.AUMSVILLE, OR <br /> <br /> 749-2897 <br /> <br />97325 <br /> <br />: GARCIA,SYLVIA M OCCB: <br /> <br />LICENSE: <br /> <br />Unit~ Description Fee <br /> Plumbing base fee ~ <br /> 3 Fixture alterations 30.00 <br /> I State snrcharge 2.58 <br /> I Refund .00 <br /> <br /> Assessed fees : 52.50 <br /> Adjustments : .00 <br /> Total fees : 52.58 <br />PAYEE: GARCIA, SYL¥IA M Total paxments: 52.50 <br /> Balance ~ue : .80 <br /> <br />THIS PERHIT IS NON-TRANSFERABLE AND EXPIRES 188 DAYS FROM ISSUE DATE IF WORK HAS <br />~T COHHENCE9, OR IF CDHSTRUCTIDNCEASES FOR A PERIOD OF 188 DAYS, OR IF WORK <br /> ILS TO NEET ALL REQUIREHEI4TS OF STATE LA~S AND HARION COUNTY ORDINANCES. UPON <br />~RITTEN REGUEST, ONE SIX (6) Iff)NTH EXTENSION MAY SE GRANTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E WOO~I..EY~ MARION COUNTY BUILDIN~ OFFICIAL / BY MBULL <br /> <br /> <br />