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PLUMBING PERMIT <br />DATE/TIME 09/14/98 15:25 PERMIT NO 98-07907 <br />TYPE Resident. addition/alteration STAI1JS ISSUED <br />PAGE 1 ISSUED 09/14/1998 <br /> TO EXPIRE 03/12/1999 <br /> <br /> LOCATOR: 082W25DDO0400 <br />WORK DESC : BACKFLOW CITY: AOMSVILLE <br /> <br />SITE ADDRESS : <br /> <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />PLUMBER <br />PHONE <br /> <br /> 290 CLEVELAND ST AM <br />90080-220 <br /> <br />IVERSON GERALD LEE <br />P 0 BOX 7153 <br />SALEM OR <br /> <br />749-3854 <br /> <br />IVERSON GERALD LEE <br /> <br />97303 <br /> <br />OWNER: IVERSON GEPd~LD LEE <br />PHONE: 749-3854 <br /> <br />OCCB: <br /> <br /> LICENSE: <br /> <br />Units Description Fee <br />I Plumbing base fee 20.00 <br />I Lawn vacuum breakers 4.50 <br />1 State surcharge 1.23 <br />I Refund ,00 <br /> <br />PAYEE: IVERSON GERALD LEE <br /> <br />Assessed fees <br />Adjustments <br />Total fees <br />Total payments: <br />Balance due <br /> <br />25.73 <br /> .00 <br />25.73 <br />25.73 <br /> .00 <br /> <br />THIS PERMIT IS NON-TPdkNSFEP~ABLE 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 />FAILSTOMEETALLREQUIREMENTS~FSTATELAJ~SAN~RIONCOUNTYORDINANCES. UPON <br />WRII~[ENREQUEST. ONESIX~(6~TH EX~3N <br />SIGNATURE OFARPLICANT: <br /> <br />DONALD E WOODLEY. MARION COUNTY BUILDING OFFICIAL / BY MBULL <br /> <br /> CALL BEFORE YOU DIG...IT'S THE LAW. <br />A~ENTION: Oregon law requires you to follow rules adopted by <br />the Oregon Utility Notification Center. Those rules are set <br />forth in OAR 952-001-0010 through OAR 952-001-0090. You may <br />obtain copies of the rules by calling the center. (Note: The <br />telephone number for the Oregon Utility Notification Center is <br />(503) 222-1987. <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 />