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PLUMBING PERMIT <br />DATE/TIME 08/25/99 09:24 PERMIT NO 99-06972 <br />TYPE Commercial addition/alteration STATUS ISSUED <br />PAGE 1 ISSUED 08/25/1999 <br /> TO EXPIRE 02/21/2000 <br /> <br /> LOCATOR: 041W22B 01600 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br />5 FX & 100' WL <br /> <br /> 20256 GRIM RD NE AR <br />40912-000 <br /> <br />FULLMAN SERVICE CO. <br />5711S.W. HOOD <br /> <br />CITY: MARION COUNTY <br /> <br />OWNER: NORTH MARION SCHOOL DIST NO 15 <br />PHONE: <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />PLUMBER <br />PHONE <br /> <br />PORTLAND OR 97201 <br />224-5221 <br /> <br />FULLMAN SERVICE CO [LC <br />224-5221 <br /> <br />FULLMAN SERVICE CO. <br />224-5221 <br /> <br /> OCCB: 0122310 <br />LICENSE: 26-443PB <br /> <br />Units Description Fee <br />1 Plumbing base fee 25.00 <br />5 Fixture alterations 75.00 <br />100 Feet water line charge 30.00 <br />1 State surcharge 9.10 <br />1 Refund .00 <br /> <br />PAYEE: FULLMAN SERVICE CO. <br /> <br />Assessed fees <br />Adjustments <br />Total fees <br />Total payments: <br />Balance due : <br /> <br />139.10 <br /> .00 <br />139.10 <br />139.10 <br /> .00 <br /> <br />THIS PERMIT IS NON-TRANSFERABLE 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 WORK <br />FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES. UPON <br />WRITTEN REQUEST. ONE SIX (6) MONTH EXTENSION MAY BE GRANTED. <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 NotJfication Center is <br />(503) 232-1987. <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-~27 <br /> <br /> <br />