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PLUMBING PERMIT <br />DATE/TIME 06/01/99 10~56 PERMIT NO 99-04178 <br />TYPE Resident, addition/alteration STATUS ISSUED <br />PAGE i ISSUED 06/01/1999 <br /> TO EXPIRE 11/28/1999 <br /> <br /> LOCATOR: <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br />1-BACKFLOW DEVICE, 1 VACUUM BREAKER <br /> <br /> 825 CHERYL ST AM <br />90012-236 <br /> <br />WHITE ERIK & POLLY <br />PO BOX 715 <br />AUMSVILLE OR 97225 <br /> <br />CITY: AUMSVILLE <br /> <br />OWNER: WHITE ERIK & POLLY <br />PHONE: 749-41t9 <br /> <br />PHONE 749-4119 <br /> <br />CONTRACTOR OCCB: <br /> PHONE <br /> <br />PLUMBER <br />PHONE LICENSE: <br /> <br /> Units Description Fee <br /> 1 Plumbing base fee 25.00 <br /> i Fixture alterations 15,00 <br /> 1 [awn vacuum breakers 7.50 <br /> i State surcharge 2,38 <br /> 1 Refund ,00 <br /> <br />PAYEE: WHITE ERIK & POLLY <br /> <br />Assessed fees <br />Adjustments <br />Total fees <br />Total payments: <br />Balance due : <br /> <br />49.88 <br /> .00 <br />49.88 <br />49.88 <br /> .00 <br /> <br />THIS PERMIT IS NON-TP~ANSFEP. 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 W~3RK <br />FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES. UPON <br />WRI~EN REQUEST, ONE SIX (6) MONTH EXTENSION MAY BE GPd~NTED, <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> CALL BEFORE YOU DIG...IT'S THE LAW. <br />ATTENTION: 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 />(502) 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 />