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DATE/TIME <br />TYPE <br /> <br /> PLUMBING APPLICATION <br />06/10/99 12:54 ACTIVITY NO <br />Resident, addition/alteration STATUS <br /> APPLIED <br /> TO EXPIRE <br /> <br />99-04500 <br />APPLIED <br />06/10/1999 <br />12/07/1999 <br /> <br />WORK DESC <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 />PD FOR 9 FIX ALTR FOR BU 99-04497 <br /> <br />10771LEVERMAN RD SE AM <br /> <br />56463-000 <br /> <br />BALKEMA JAMES <br />P 0 BOX 1327 <br />AUMSVILLE. OR <br /> 97325 <br />749-1197 <br /> <br />LOCAIOR: 081W29C U3000 <br /> CITY: MARION COUNTY <br /> <br />OWNER: BALKEMA JAMES <br />PHONE: 749-1197 <br /> <br />OCCB: <br /> <br />LICENSE: <br /> <br />Units Description Fee <br />I Plumbing base fee 25,00 <br />9 Fixture alterations 135,00 <br />1 State surcharge 8,00 <br />I Refund ,00 <br /> <br /> Assessed fees : 168.00 <br /> Adjustments .: .00 <br /> Total fees : 168.00 <br />PAYEE: BALKEMA JAMES Total payments: 168.00 <br /> Balance due : .00 <br /> <br />THIS IS NOT A PERMIT. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARY INFORMATION IS PROVIDED AND FEES PAID BEFORE A PERMIT MAY <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E. WOODLEY. MAI~I~ON COUNTY BUILDING OFFICIAL / BY CLYNCH <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 />