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MARION COUN 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 />]N~TE/TIHE: <br />TYPE <br />SCCUPAI,~:Y <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />CROSS STREET : <br />PARCEL NUMBER : <br /> <br /> PLUHDI~ PERMIT <br />86/83/97 15:16 PERHIT ~0 <br />Conmercial addition/alteration STATUS <br />F-1 ISSUED <br /> TS EXPIRE <br /> <br />26 FIXTORES FOR REMODEL OF RESTROOMS @ MFC PLANT <br /> <br /> CITY: AUMSVILLE <br /> 945 OLNEY ST AN <br /> <br />OFF AUMSVILLE NWY, EAST TO OLNEY TO BLAZER INDUSTRIES <br /> <br />57806-088 PROPERTY LOCATOR: 882W25A 88588 <br /> ZONE: IL <br /> <br />OWNER NAME : <br /> <br />APPLICANT <br />NAME : <br />ADDRESS : <br /> <br />SHETLER/BLAZER INDUSTRIES <br /> <br />BLAZER INDUSTRIES INC <br />PO BOX 489 <br /> <br /> AOMSVILLE, OR <br /> PHONE : 749-1908 <br /> <br />CONTRACTOR : BLAZER INDUSTRIES INC <br /> PHONE : 749-1988 <br /> <br />PLUMBER : BLAZER INDUSTRIES INC <br />PHONE : (583) 749-1988 <br /> <br /> llnits Description <br /> 1 Plumbing base fee <br /> 26 Fixture a],terations <br /> i State surcharge <br /> 1 Refund <br /> <br />97325 <br /> <br /> OCCB: 8858186 <br /> <br />LICENSE: 24-358PB <br /> Fee <br /> <br />: 97-84883 <br />: ISSUED <br />: 86/83/1997 <br />: 11/39/1997 <br /> <br /> 28.88 <br />268.88 <br /> 14.88 <br /> .88 <br /> <br /> Assessed fees : 294.88 <br /> Adjustments : <br /> Total fees : 294.88 <br />PAYEE: BLAZER INDUSTRIES INC Total pay~ents: 294.88 <br /> Balance due <br /> <br />THIS PEP, HIT IS NOH-TRANSFERABLE AND EXPIRES 188 ~AYS FROM I~ DATE IF ~RK <br />~T C~ED, ~ IF ~STRUCTION ~A~S F~ A P~IOD <br />FAILS TO ~T ~L ~IRE~S OF STATE L~ A~ HARION C~Y ORDINATES. U~H <br />~I~EH ~ST~ ~ SIX (&) ~NTH EX~I~ HAY BE <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E wOogLEY, MARION CouNTy BUII_gING OFFICIAL / BY PMUNRO ~/ <br /> <br /> <br />