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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 />DATE/T)HF <br />TYPE <br />OCCUPANCY <br /> <br /> PLUHBING PERMIT <br />: 11/07/97 lS:4& <br />: Resident. addition/alteration <br />: R-3 <br /> <br />PERNIT NO <br />STATUS <br />ISSUED <br />TO EXP[RE <br /> <br />97-B8889 <br />ISSUEO <br />11/87/1997 <br />85/86/1998 <br /> <br />W(IRK ~FS(': : AITFR/ 1 FTX FOR SHOWFR <br /> <br />~ T'FF. AOI)RES.S : <br /> <br />CITY: MARION COUNTY <br /> <br />12444 W~ST STAYTON RI) SE ST <br /> <br />CROSS STREET : STAY¥ON RI) (KEIJO~I_E.. FARMS) <br /> <br />PARCEL NUMBER : 61250-000 <br /> <br />PROPER'FY IOCATOR: 091W18A 81388 <br /> ZONE: EFU <br /> <br />OWNER NAME:' : KF[))~ELL <br /> <br />APPI.'[CANT <br />NAME : ,JUDSONS INC <br />ADDRESS : PO BOX 12669 <br /> <br /> SALEMt OR 97309 <br />PHONE : 363-4_41 <br /> <br />COI,iTRA(TF[)I~ : JUDSONS <br /> PHONF : 36:t-4141 <br /> <br />OCCB: 8034604 <br /> <br />P!IIMRER : JH))SON'S IN(; <br />PHF)NF' : <br /> <br />LICENSE: 24-22PB <br /> <br />Uni t's Bescr'ipt:[o~ <br />..... <br /> 1 Fixture a)t~"at~ <br /> 1 State surcharge <br /> Ref~md <br /> <br />Fee <br /> Z0.00 <br /> 10.0~ <br /> 1.50 <br /> <br /> Assembled fees 31.50 <br /> Adju~tm~ts .00 <br /> l'ot~l f~es 31.50 <br />PAYFE: ,UDSONS INC Tot~] paxMe~ts: 31.50 <br /> Balance due : .00 <br /> <br />THIS PERNIT IS NON-TRANSFERABLE AND EXPIRES 188 DAYS FROM ISSUE 9ATE IF WORK HAS <br />NOT C~HHENCE9, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 186 DAYS, OR IF WORK <br />FAILS TO NEET ALL REGUIREHEHTS OF STATE LAWS AND NARION COUNTY ORDINANCES. UPOH <br />NE~TTEN RF~[IFST, ONF SIX (6) NONTH EXTENSION HAY BE GRANTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />T)ONAI_D E WOOQLEY~ MARION COUNTY BUILDING OFFICL:Ai. / BY DSTONE ~L~ <br /> <br /> <br />