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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C ° Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br />DATE/TINE <br />TYPE <br />OCCUPANCY <br /> <br />WORK DESC <br /> <br />SITE ADDRESS : <br /> <br />CROSS STREET : <br />PARCEL NUMBER : <br /> <br />OWNER NAME: : <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONI'RACTOR <br />PHONE <br /> <br />PLUMBER <br /> PHONE <br /> <br /> PLUNBIN~, PERNIT <br />B6/04/97 16.-7G <br />Resident. addition/alteration <br />R-3 <br /> <br />: J/FIX FOR ADDITION <br /> <br />PERNIT NO : 77-818B2 <br />STATUS = ISSUED <br />ISSUED <br />TO EXPIRE : 12/01/1997 <br /> <br /> 9881 JORDAN ST SE AM <br />SILVERFALLS HY <br />56888-888 <br /> <br />BARTELS,HENRY <br /> <br />CITY: MARION COUNTY <br /> <br />PROPERTY LOCATOR: 881W18 00300 <br /> ZONE: EFU <br /> <br />BARTELS,HENRY <br />9801 JORDAN RD SE <br />AUMSVILLE <br />OR <br />362-3148 <br /> <br />97325 <br /> <br />BARTEL.S,HENRY OCCB: <br /> <br />LICENSE: <br /> <br />Descrintion Fee <br />Plumbing base tee Z~.O~ <br />Fixture alterations 38.88 <br />State surcharge 2.50 <br />Refund .80 <br /> <br /> Assessed fees 52.58 <br /> Adjustments .00 <br /> Total fees 52.50 <br />PAYEE: BARTELS, HENRY Total payments: 52.58 <br /> Balance due : .00 <br /> <br />TH[S PERNIT IS lION-TRANSFERABLE AND EXPIRES 188 BAYS FROM ISSUE DATE IF WORK HAS <br />NOT COHF~ENCED, OR IF COHSTRUCTION CEASES FOR A PERIOD OF 188 BAYS. OR IF NORK <br />FAILS TO NEET ALL REQUIREHEHTS OF' STATE LAirS AND HARbOR COUNTY OrdINANCES. UPON <br />WRITTEN REGUEST, ONE SIX (&) HONTN EXTENSION I~Y DE ~RANTED. <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E ~OODLEY~ HARION COUNTY ~UILDZNG OFFICIAL / ~Y PMUNRO~I/ <br /> I' <br /> <br /> <br />