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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 />DATE/TINE <br />TYPE <br />OCCUPANCY <br /> <br />WORK DESC <br /> <br /> PLUNBING PERNIT <br />84/11/77 14:27 <br />Resident. addition/alteration <br />R-3 <br /> <br />: BACKF[OW DEVICE <br /> <br />SITE AOI)RESS : <br /> <br />CROSS STREET : <br /> <br />PARCEL NUMBER : <br /> <br />OWNER NAHE : <br /> <br />APPLICANT <br /> NAME : <br /> ADDRESS : <br /> <br />PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />PERNIT NO : 97-82577 <br />STATUS : ISSUED <br />ISSUED : 84/11/1997 <br />TO EXPIRE : 18/88/1997 <br /> <br />PLUMBER <br /> PHONE <br /> <br />CITY: AURORA <br /> <br />14736 ALBERS WY NE AR <br /> <br />AIRPORT RD. <br /> <br />90148-061 <br /> <br />PROPERTY LOCATOR: 041W12CA02808 <br /> ZONE: <br /> <br />LEWIS, STEPHEN R & DONAkD, CHARLES <br /> <br />TENNANT HAROLD D <br />2310 PERKINS ST NE <br /> <br />KEIZER~ OR 97303 <br />: S90-29SS <br /> <br />: TENNANT HAROLD D <br />: 39~-29S3 <br /> <br />OCCB: 122190 <br /> <br />LICENSE: <br /> <br />Units Description <br />-----~ Pl~ng-~ fee <br />~ Lawn vacuum breakers <br />I State surcharge <br />1 Refund <br /> <br />Fee <br /> <br />4.50 <br />1.2~ <br /> .00 <br /> <br /> Assessed fees 25.73 <br /> Adjustments .00 <br /> Totel fees 25.7~ <br />PAYEE: TENNANT HAROLD D Total payments: ~.73 <br /> Balance due : .00 <br />*********************************************************************************** <br /> <br />THIS PERNIT IS NON-TRANSFERABLE AND EXPIRES 188 DAYS FRON ISSUE DATE IF NORK HAS <br />NOT CONHENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF NORK <br />FAILS TO NEET ALL REDUIRENENTS OF STATE LAWS AHD NARION COUNTY ORDINAHCES. UPOH <br />WRITTEN REQUEST, ONE SIX (6) NONTH EXTENSION NAY BE GRANTED. <br /> <br />SIGNATURE (IF APPLICANT: <br />*********************************************************************************** <br />DONALD E WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY KLOAR <br /> <br /> <br />