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MARION COUNTY BUILDING INSPECTION <br /> <br /> 3150 Lancaster Dr. N.E. · Suite C · Salem, Oregon 97305-1398 <br />Offl~eHoure: 8:00-4:30. Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 373-4427 <br /> <br />IN~TE/TIHE <br />TYPE <br />OCCUPAI'ICY <br /> <br /> PLUH~ING PERMIT <br />= S5/12/97 12=14 PER~[T HO <br />~ Resident. addition/alteration STATUS <br />= U-1 ISSUED <br /> TO EXPIRE <br /> <br />WURK DESC : <br />SITE ADDRESS : <br /> <br />CROSS STREET <br /> <br />PARCEL NUMBER <br /> <br />OWNER NAME' : <br /> <br />APPLICANT <br /> NAME <br /> ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br /> PHONE <br /> <br />2/FIX WL SL <br /> <br />97-S2556 <br />ISSUED <br />05/12/1977 <br />11/08/1997 <br /> <br />CITY: MARION COUNTY <br /> <br /> 13501 CEDARWOOD RD NE AR <br /> <br />BOONESFERRY <br /> <br />40402-000 PROPERTY LOCATOR: 041Wll <br /> ZONE: EFU <br /> <br />MEDICA,CARLOS <br /> <br />0~400 <br /> <br />MEDICA.CARLOS <br />13501CEDARWOOD RD NE <br />AURORA, OR <br /> <br />678-6257 <br /> <br />MEDICA,CARLOS <br /> <br />970~2 <br /> <br />OCCB: <br /> <br />LICENSE: <br /> <br />Unit~ Description Fee <br />1~0 Fixture alterations 20.00 <br /> Feet water l:lne charge 20.00 <br />1~0 Feet ~ewer line charge 30.00 <br /> State sul"charge 4.50 <br /> 1 Refund <br /> <br /> Assessed fees : 94.50 <br /> Adjustments : <br /> TOtal fees : 94.50 <br />PAYEE: MEDICA~CARI..QS Total paxments: 94.50 <br /> Balance Uue : .00 <br /> <br />THIS PERH~T IS HQ~I-TRAHSF'ERABLE N'ID EXPIRES 18B DAYS FROH ISSUE DATE IF ,ORK HAS <br />FA~S-¥O~HEETALENOTLCO##£NCED'DR IF COHSTRUCTZON CEASES FOE A PERXO' DF ~8' DAYS. OR IF WORK <br /> REOU[REHENT5 DF STATE LAi~ AND HARZONCOUHTY ORDZNAHCE5. UPON <br />k~RITTEN REOUEST~ ONE SIX (6) HOHTH EXTENSION HAY BE GRt~ITED. <br />S~GNATURE OF' APPLICANT: <br />::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: <br /> /BI[/ <br /> E wOODLEY, MARION COUNTY 91iILDIN~ OFFICIAL / BY F'~UNRO~/ <br />DONALD <br /> <br /> <br />