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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 />PLUHSING APPLICATION <br /> <br />DATE/TINE <br />TYPE <br />OCCUPAHCY <br /> <br />SS/Z9/97 16:33 <br />New Residential <br />R-3 <br /> <br />ACTIVITY HO : 77-B358! <br />STATUS : APPLIED <br />APPLIED : ~5/Z9/!997 <br />TO EXPIRE : I!/I§/!977 <br /> <br />WORK DESC : 188 FT W/L ~00 FT S/L <br /> <br />SI]E APDRESS : 248 BOULDER ST I)T CITY: DETROIT <br /> <br />CROSS STREET : BUTTE ST <br /> <br />PARCEL NOHBER :90222-198 ~. <br />OWNER NAME : CRIST~BRIAN C & JAflI <br /> <br />APPLICANT <br />NAME : CRIS'I'. BRIAN [ '~/ <br /> ADDRESS : 5705 ROONSTOVE LP SE~ ~ <br /> SALEM OR <br /> 97386 <br /> PHONE : 50~-371-8133 <br /> <br />C[/NTRACTOR : CRIST, BRIAN <br /> PHONE : <br /> <br />OCCB: <br /> <br /> : <br />PHGNE : <br /> <br />LICENSE: <br /> <br />Units Description <br />..... ~- '-"FI~)bin~ base tee <br />].0i4 Feet wa~er line charge <br />100 Feet sewer line charge <br />1 State surcharge <br />[ Refun~ <br /> <br />Fee <br /> <br />~0.0~ <br />20.08 <br /> <br /> 3.50 <br /> <br /> Assessed fees : 73.50 <br /> Ad just~mnts : .00 <br /> Total fees : 73.50 <br /> AYF. E: CRIST, BRIAN Total paXMents: 73.58 <br /> Balance due : .00 <br /> <br />THIS IS NOT A PERNIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORHATION IS PROVIDED AND FEES PAID BEFORE A PERHIT HAY <br />BE ISSUED. ~~_ <br />SIGNATURE OF APPLICANT: ....................... <br /> <br />~)ONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY CRICE <br />......................................... FOR OFFICE USE ONLY ......................... <br /> <br /> MAP: ZONE: RS PROPERTY LOCATOR: 105EO1BC08500 <br /> <br /> PI. AN REVIEW: DATE: ZONING REVIEW: DATE: <br /> <br /> <br />