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DATE/TIME <br />TYPE <br /> <br /> PLUMBING APPLICATION <br />09/14/99 09:55 ACTIVITY NO <br />Resident, addition/alteration STATUS <br /> APPLIED <br /> TO EXPIRE <br /> <br />99-O759O <br />APPLIED <br />09/14/1999 <br />03/12/2000 <br /> <br />WORK DESC <br /> <br />SITE ADDRESS <br /> <br /> LOCAIUR: O41Wi4D UO/OU <br />5 FIXTURES AND I RECONNECT FOR REMODEL BU 99-07587 CITY: MARION COUNTY <br /> <br />20497 HIGHWAY 99E NE AR <br /> <br />TAX ACCOUNT <br /> <br />APPLICANT <br />ADDRESS <br /> <br />40640-000 <br /> <br />GOFF P~qYMOND A & IRIS JUNE <br />20497 HIGHWAY 99E <br />AUROPJN OR 97002 <br /> <br />OWNER: GOFF,RAYMOND A & IRIS JUNE <br />PHONE: <br /> <br /> PHONE <br /> <br />CONTRACTOR <br />PHONE <br /> <br />PLUMBER <br /> PHONE <br /> <br />678-5553 <br /> <br /> OCCB: <br /> <br />LICENSE: <br /> <br />Units Description Fee <br />1 Plumbing base fee 25,00 <br />5 Fixture alterations 75.00 <br />1 Fixture reconnections 7,50 <br />1 Investigation fee 107.50 <br />1 State surcharge 7,53 <br />i Refund ,00 <br /> <br /> Assessed fees : 222.53 <br /> Adjustments : ,00 <br /> Total fees : 222,53 <br />PAYEE: GOFF P~qYMOND A & IRIS JUNE Total payments: 222,53 <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 /> 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 />