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DATE/TIME <br />TYPE <br /> <br /> MECHANICAL APPLICATION <br />06/28/99 15:29 ACTIVITY NO <br />Commercial addition/alteration STATUS <br /> APPLIED <br /> TO EXPIRE <br /> <br />99-05110 <br />APPLIED <br />06/28/1999 <br />12/25/1999 <br /> <br />WORK DESC <br /> <br />PERMIT FOR 3 GAS PIPING ONLY <br /> <br />PLG 99-04207 <br /> <br />LDCAIUR: U41W03 00900 <br /> CITY: MARION COUNTY <br /> <br />SITE ADDRESS <br /> <br />12712 ARNDT RD NE AR <br /> <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />40215-000 <br /> <br />DETEMPLE CO INC <br />1951 NW OVERTON ST <br /> <br />PORTLAND, OR 97209-1111 <br />227-2641 <br /> <br />DETEMPLE CO INC <br />227-2641 <br /> <br />Units Description Fee Units Description <br /> 1 Base fee -- 25.00 <br /> 2 ~.~ ,,,,.~0.4.~- ~m..L~ 30.00 <br /> 3 Gas outlets 12.00 <br /> i State surcharge 3,25 <br /> 1 Refund .00 <br /> <br />OWNER: WINDBORNE FARM <br />PHONE: <br /> <br />OCCB: 0002510 <br /> <br />Fee <br /> <br />Assessed fees : 70.35 <br /> <br /> Adjustments : .00 <br /> Total fees : 70.35 <br />PAYEE: DETEMPLE CO INC Total payments: 68,25 <br /> Balance due : 2.10 <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 CLYNCH <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 />