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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) 583-5147 * 24-HR Inspection Line: (503) 373-4427 <br /> <br /> PUJHBING PERHTT <br />DATE/T~NF = ~9/26/97 14m29 PERHIT NO = 97-~7691 <br />TYPE : CommerctaZ addition/att:ration STATUS = ZSSUE~ <br />O~UPANCY = ~ ISSUED : B9/26/1997 <br /> TO EXPIRE : ~3/25/1778 <br /> <br />W(tRK OF,~C. : 10~~ W[ - 100~ SS - BACKFLQW DFV~CF <br /> <br />SITE ADDRESS : CITY: AUMSVILLE <br /> <br />HAIN ST AM <br /> <br />CROSS STREET : CORNER 18TH & MAIN - MOBILE BREWED AWAKENINGS <br /> <br />PARCFL NIIN~FR : 98100-110 <br /> <br />PROPERTY LOCATOR: 082W25I)C~4008 <br /> ZONE: C1 <br /> <br />OWNFR NAMF : NORMAN CHIICK <br /> <br />APPLICANT <br />NAHF : SHARON CHAMP! <br />ADDRESS : <br /> <br />PHONE : <br /> <br />CONTRACTOR : SHARON CHAMPI OCCB: <br /> PHONF : <br /> <br />PLOMBER : <br />PHONE : LICENSE= <br /> <br />Units Description <br />-- ]00 Feet water ~ine charge <br />10~ Feet sewer lane charge <br />~ Other b~ckf]ow devi~s <br />1 State surchmrge <br />1 Refund <br /> <br />25.00' <br /> <br />10.00 <br /> <br /> .08 <br /> <br /> Assessed fees : 68.25 <br /> AdjustMents : .00 <br /> lotml fees : 68.25 <br />PAY~P: SHARON CNAMPI Totml p~y~tents: ~8.25 <br /> B~lance due ~ .88 <br /> <br />THIS PERNIT IS NON-TRANSFERABLE AND EXPIRES 18~ D~YS FROH ISSUE DATE IF #ORK HAS <br />NflT COHHEN~D~ OR [F COHSTRUC. T[SN CEASES FOR A PERIOD OF <br />FALLS TONEET AI.L REGUIREHENTS OF STATE LN6S AND HARIOHCOUNTY ORDINANCES. UPON <br />WRITTEN REOUEST, ON£ SIX (6) HONTH EXTE*HSION NAY lie GRANTED. <br /> <br />SIGNATIIRE OF APPLICANT: <br /> <br />DONALD E WOODLEY, MARION COUNTY BUll. DING OFFICIAL / BY MMEYER <br /> <br /> <br />