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DATE/TIME <br />TYPE <br /> <br /> PLUMBING APPLICATION <br />12/29/99~ 14:35 ACTIVITY NO <br />Commercial addition/alteration STATUS <br /> APPLIED <br /> TO EXPIRE <br /> <br />99-04993 <br />EXPIRED <br />06/24/1999 <br />12/21/1999 <br /> <br />WORK DESE <br /> <br />SITE ADDRESS <br /> <br />PD FOR SHOWER, WH, SINK , WATER CLOSET <br /> 14397 KEIL RD NEAR <br /> <br />LUCAIOR: U41W11A OUZOUA1 <br />CITY: MARION COUNTY <br /> <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br />PHONE <br /> <br />CONTPJ~CTOR <br />PHONE <br /> <br />PLUMBER <br /> PHONE <br /> <br />40403-612 <br /> <br />A C SEARS OWNER: A C SEARS <br />14397 KEIL RD NE PHONE: <br />AURORA, OR <br /> <br />503-687-2989 <br /> <br />97002 <br /> <br />OCCB: <br /> <br /> LICENSE: <br /> <br />Units Description Fee <br />1 Plumbing base fee 25.00 <br />4 Fixture alterations 60.00 <br />i State surcharge 4.25 <br />1 Refund .00 <br /> <br /> Assessed fees 89,25 <br /> Adjustments ,DO <br /> Total fees 89,25 <br />PAYEE: A C SEARS Total pa~cnents: 89,25 <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 />BE ISSUED: <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY AGRAHAM <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)373-4~27 <br /> <br /> <br />