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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 /> DA'rE/TIldE <br />.... OCCtlPA~ICY <br /> <br /> SI'rE ABBRF,~S <br /> <br />CERR~ STREFT <br /> <br />PARCEL flOMBER <br /> <br />OWNER NAME <br /> <br />APPLTCANT <br /> NAME <br /> APPRES~ <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />PLUMBER <br /> PHONE <br /> <br /> PLUHR~NO PERNIT <br /> = ~/24/97 GSa44 <br /> ! Resident. addition/alteration <br />; <br /> <br />: 2 F~X AI.TR IN BATHRM FOR BU 97-~7525 <br /> <br /> 11844 BELDEN DR BE ST <br /> <br />WFST STAYTON RD WEST END NFAR BARLEY RD <br /> <br />41596-8~8 PROPERTY I.OfiATOR: <br /> ZONE: <br /> <br />LINGENFELTER, ROY L. <br /> <br /> I_INGENF~LTER,ROY I.. <br /> 11844 BELDEN BR SE <br />STAYTOfl <br />OR <br /> 769-1257 <br /> <br />L INGENFEL TER, ROY L,.. <br /> <br />97~8~ <br /> <br />PERNIT NO : 97-S7526 <br />STATUS : ISSUED <br />ISSUED : 18/24/1997 <br />TO EXPIRE ~ 84/22/1978 <br /> <br />CITY: MARION COUNTY <br /> <br />092W13 81100 <br />EFU <br /> <br />OCCB~ <br /> <br />LICENSE: <br /> <br />L!n~ ts ~escr i ~t~ on <br /> <br /> ~i xture'a ] terat ~ OhS <br /> 1 S~ate surcharge <br /> 1 Ref~md <br /> <br />Fee <br /> 20.0~ <br /> 20.me <br /> 2.88 <br /> <br /> Assessed fees : 42.88 <br /> AdjustMents : <br /> Total fees : 42.00 <br />PAYFE: [INGEflFE[TER,ROY [. Tota~ pax~;ents: 42.00 <br /> Balance due : <br /> <br />THIS PERNIT IS NON-TR/~SFERADLE ~ EXPIRES 188 I~YS FRD~ ISSUE DATE IF WO~ HAS <br />~T ~ED, ~ IF CONST~CTI~ CEASES F~ A PERIOD ~ 18B DAYS, ~ IF ~ORK <br />FA~LS TO~T ~CRE~IRE~NTS ~ ~TATE L~S ~ H~I~ C~NTY ORDINANCES. UPON <br />~TTTEH ~ST~ ~ SIX (&) ~TH EXTEHSI~ ~Y BE GRATED. <br /> <br />~HATIJRE OF APPLICAHT= <br />::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: <br />~OflAl.O E ~O~LEY~ H~R[ON COUNTY ~U[L~[N~ OFF[g~L / ~Y PHUNRO~'/ <br /> <br /> <br />