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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 />WORK DESf; <br /> <br />CROSS ST ~;'EET <br /> <br />PARCEL ;4:!HHER <br />~WNER HAWF; : <br /> <br />A.:PL!CAN] <br /> NAME : <br /> ADDRESS : <br /> <br /> PLUHBING APPLICATION <br />DATE/TIME : 09/15/97 14:23 ACTIVITY NO : ?7-0726? <br />TYPE : New Residential STATUS : APPLIED <br />OCCUPANCY : R-3 APPLIED : ~9/15/1997 <br /> TO EXPIRE : B3/14/1998 <br /> <br /> J.O~' WTR/ i~' SEWER <br /> 9~7 SNt)I~DY DR SE AM CITY: ~ARION COUNTY <br /> WEST STAY!'ON <br /> <br /> ?~720-000 <br /> B'[SHOP~T£1DD A ~ ROXAN~E T <br /> <br />] ONTRACT(]!,.' : <br /> <br />Bi SHOP ~ TODD <br />95;7 S~IOt)DY DR SKi <br />AUMS~"i LLE <br /> <br />B',~ SHGP, TODP <br /> <br />OCCB: <br /> <br />.! State su!"r:h~,r ge <br />! Refund . OF_., <br /> <br />Asses~m~ fees : 52.50 <br />Ad just~:mts : ~ ~0 <br />~rP:al 'f~es : 52.50 <br /> <br />Balance due : <br /> <br />THIS IS NOT A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORMATION IS PROVIDED AND FEES PAID BEFORE A PERMIT MAY <br /> <br />S i:,;;~A'rnR,..K Oi:' A?t::'!. ]:CAN'i, __~ ......... '..~...~_.~.) <br />:~:~*~**~**~**~*******~**~**~***~**~***~*~*~**:~*~I~***~*~**~*~R~****~*~***~ <br /> <br />qONAi. D E. gi!IODLEY,., MARION COUNTY BiKCLDtNf; OFF1C, IAL. / BY T]'[)!qLY <br /> <br />........................................................... Fr)R ~!FF]:CE tJSE ONLY ............................................ <br /> <br />PROPERC/ LGCA'fOR: 0~?2Wl!SA 0010{~ <br /> <br /> <br />