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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOG. NO, 225 <br />220 HIGH STREET NE <br /> S.~.L~M, OREGON 97301 <br /> <br /> PHONE 58,8-5147 <br /> CODB-A-PHONF- 4:30 P.M. - 8:00 A,M. <br /> <br />lama registered builder OR( )theagthmrized representative <br />of a registered builder, <br /> <br />Other ,,, <br /> <br /> DATE: 09/22/87 TINE: !.; 19;55P <br /> <br /> DETROIT LAKE ~AF~INA/ZANE, KELLY <br />S[TLJS ADDRESS: COHSTRUC~ION TYP~; : OCCUPANCY: <br /> <br />COf4~E~iCAL <br /> <br /> 1 15 BREITENDUSH RD [ CONTRACT CITY; ~1~? OCCUPANT LOAD: <br />DETROIT OR <br /> D~IT ' NO ; <br /> <br />DETROIT LAKE NARINA <br />DETROIT, OREGON 97242 <br />PHONE ~ 854--3429 <br /> <br />LOT: 8LOCKz <br /> 2 <br />WIDTH~ DEPTH: <br /> <br />TYPE: PLUNBtNG <br /> <br />10 <br /> <br />HAMMONO <br /> <br /> SITE NUNBER: 259? <br /> VALUAT I ON .' <br /> '~C~JON: ~T~W~IP: I, RANGE: ZONe: <br /> <br /> AR~A: ~ UNLTS'. ~ )RR~G, LOT: ~; CORNE~: <br /> ; NO ;' NO <br /> <br />PERNIT OR APPLI'CATZON NO.* 9004503 <br /> <br />CONTRACTOR, NO, <br />DETROIT LAKE NARINA,,'~ANE, KELLY <br />DETROIT LAKE MARINA <br />DETROIT, OREGON 9734~ <br />PHONE: 854-3423 <br /> <br /> ITEN <br />COf4NERCIAL FIXTURE, ALTERATIONS <br />PLUN~ING BASE FEE <br />FLEET ..SURCHARGE -ZONE 7 <br />PLUNBING STATE SURCHARGE <br /> <br /> QUANTITY AMOUNT <br /> ? $52.50 <br /> $10.00 <br /> $8.96 <br /> $3.13 <br />:rO*AL:A"qSESSEDFEES $?4.59 <br />PREVIOUS 'R~CE~ PTS $0. O0 <br />THIS.:REOEIPT $74.59 <br />: BALANCE DUE SO,O0 <br /> <br />PAYEE: DET~;~OIT LAKE NARINA/ZANE, KELLY ~:'~ ":~NVOICE NO: 5062 <br /> .' T~PE:";,IN ':' CHECK ~: 0 <br />RECEIVEO <br /> <br />ALL N~ IN~TI~ <br /> <br />PL~ REVIEN: BY <br /> <br />REMARKS.' ? FIX <br /> <br />DATE._ ........ CIYY JURTSDI~::!ON: BY ........ DATE ........... <br /> <br />~:O~M,', u. ~:~-se n~v 6/s~ OFFICE COPY <br /> <br /> <br />