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DATE/TIME <br />TYPE <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 /> PLUMBING APPLICATION <br />06/24/99 15:20 ACTIVITY NO <br />Co~r~ercial addition/alteration STATUS <br /> APPLIED <br /> TO E×PIRE <br /> <br />99-04993 <br />APPLIED <br />06/24/1999 <br />12/21/1999 <br /> <br />PD FOR SHOWER, WH, SINK , WATER CLOSET <br /> <br /> 14397 KEIL RD NE AR <br />40403-612 <br /> <br />'LUCAIOR: 041WllA 00200A1 <br /> CITY: MARION COUNTY <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 />1 State surcharge 4,25 <br />1 Refund ,00 <br /> <br /> Assessed fees 89.25 <br /> Adjustments .00 <br /> Total fees 89.25 <br />PAVEE: A C SEARS Total payments: .00 <br /> Balance due : 89,25 <br /> <br />THIS IS NOT A PERMIT, IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE <br />THAT ALL NECESSARV INFORMATION ~S PROVIDED AND FEES PAID BEFORE A PERM~l MAY <br />BE ISSUED, <br /> <br />SIGNATURE OF APPL I CANT: <br /> <br />DONALD E, WOODLEY, MARION 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)58B-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />