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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 />PLUNDIHO PERMIT <br /> <br />DATE/TItlE <br />TYPE <br />OCCUPANCY <br /> <br />82/8~/97 12:35 PERHIT NO : 97-88474 <br />New Residential STATUS : ISSUED <br />R-3 ISSUED : 82/B3/1797 <br /> TO EXPIRE : 88/82/1997 <br /> <br />WORK DESC : WA1ER LINE <br /> <br />~:[ fE At)ORESS <br /> <br />CITY: MARION COUNTY <br /> <br />23851 SCHULTZ RD NE AR <br /> <br />(')ROSS STREET : FARGO <br /> <br />F:'AI~CEL NLIPiBER : 40226-00~ <br /> <br />PROPERTY LOCATOR: 041W05 01580 <br /> ZONE: EFU <br /> <br />OWNER NAflF : MOORE,ROBERT J A <br /> <br />APPLICANT <br /> NAME <br /> AD))RESS <br /> <br />PHONE <br /> <br />Mi ORE~RORERT J A <br />~3051 SCHU 3Z RD NE <br />AURORA <br />OR <br />678-1256 <br /> <br />970~2 <br /> <br />CONY'RACTOR : HCHINNVILi,E FACTORY HO~ES INC OCCB: 002077~ <br /> IPHONE : 472-4148 <br /> <br />PLUMBER : <br />PHONE : LICENSE: <br /> <br />Units ])escription <br /> ~--" "~ ee-t-' w%~FeTF-Ii}iF ~-~B: ~-£9 e <br /> 1 State surchar~e <br /> ] Refund <br /> <br />Fee <br /> <br />1.00 <br /> <br /> Assessed fees : 21.00 <br /> Adjustments : .00 <br /> Total f~es : 21.00 <br />FAYE_. MO(.RE~ROR~NT J A Total pay~,~e~ts: 21.00 <br /> B;~lar~ce due : <br /> <br />THIS PERMIT IS NUN-TRANSFERABLE AMD EXPIRES 188 BAYS FROM ISSUE BATE IF WORK HAS <br />NOT COMHENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 18~ DAYS. OR IF WORK <br />FAILS TO MEET ALL REQUIREHENTS OF STATE LAMS AI~ MARION COUNTY ORDINANCES. UPON <br />WRITTEN REQUEST, ONE SIX (6) MONTH EXTENSION HAY :ErE ~RAHTEB. <br /> <br />SIGNATURE OF APPLICANT: <br />********************************************************************************* <br />~)I}~,}A[.~) E WOODI.EY? MARION COUNTY BUIU)INI; OFFIC:I:AI.. / BY PMUNRO ~y <br /> <br /> <br />