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PLUMBING PERMIT <br />DATE/TIME 03/05/98 07:23 PERMIT NO 98-00838 <br />TYPE Resident. addition/alteration STATUS ISSUED <br />PAGE 1 ISSUED 03/04/1998 <br /> TO EXPIRE 08/31/1998 <br /> <br /> LOCATOR: 041W11A 01400 <br />WORK DESC 4 FIXTURES/BU ADDN 98-00835 CITY: MARION EOUNTY <br /> <br />SITE ADDRESS <br /> 22050 BOONES FERRY RD NE AR <br /> <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />PLUMBER <br /> PHONE <br /> <br />40390-000 <br /> <br />SHROCK,MIKE <br />22050 BOONES FERRY RD NE <br />AURORA, OR <br /> 97002 <br />678-2187 <br /> <br />OWNER: SHROCK, MICHAEL <br />PHONE: 678 2187 <br /> <br />SHROCK,MIKE 0CC8: <br /> <br />LICENSE: <br /> <br />Units Description Fee <br />1 Plumbing base fee 20,00 <br />4 Fixture alterations 40.00 <br />0 State surcharge 3.00 <br />1 Refund .00 <br /> <br />PAYEE: SHROCK,MIKE <br /> <br />Assessed fees : 63.00 <br />Adjustments : .00 <br />Total fees : 63.00 <br />Total payments: 63.00 <br />Balance due : .00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK HAS <br />NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF WORK <br />FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES, UPON <br />WRITTEN REQUEST, ONE SIX (6) MONTH EXTENSION MAY BE GRANTED. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E WOODLEY, MARION EOUNTY BUILDING OFFICIAL / BY CRICE <br /> <br /> Marion County Building Inspection <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 /> <br />