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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PRONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A,M. <br /> <br /> The work will be performed by a registered builder, <br /> <br /> DATE~ 01/26/88 TIMEr <br /> <br />OWNER: ~.~T~ ~ "VBNS, NEMTON i TAX t-0~; i CATEGORY: RE,~z~" CENT;IAi~ <br /> <br /> 11682 WARBLER LANE NE <br /> AU F-tORA OR 9?002 <br /> M~RION COUNTY NO <br />USE 0F 8ulLui~8:' ! t~0 ~£DROOM$ <br /> <br />MAILING ADDRESS: <br /> <br /> 5085 RAY BELL RD <br />:ST. PAUL, OREGON 97317 <br />, PHONE: 50S-538-1266 <br /> <br />9 ~9 <br /> <br /> CENTURY MEADOWS F©UT~ A~0 <br /> <br /> ~ SITE NUMBER= 3509 <br /> VALUAT;ON~ <br /> <br />33 ] 3S ~ 1~ ,AR <br /> <br />TYPE: PLUMB[NG <br /> <br />PE~IT OR APPLICATION NO: 6335 <br /> <br />CONTRACTOR, NO. 46901 <br />A~RAHAM FACTORY HO~E~ INC/ TOM <br />:?303 SE MCLOUGHLIN BLVD <br />MILNAUKIE, OREGON 97222 <br />PHONE: <br /> <br /> ITE~ <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES, 1ST '100 FEET <br />PL..tJF18~NG BASE FEE <br />FLEET F;JJRCHARGE -ZONE 8 <br />PLUMBING STATE SURCHARGE <br /> <br />PAYEE: <br /> <br />QUANTITY AMOUNT <br />1 $20. OO <br />; Sso_oo <br /> $2o.o0 <br /> <br />RECEIPTS <br /> <br /> RECEIPT <br /> <br />RECEIVED BY: ~b : : T.¥PE ::CHECK ~: <br /> <br />~T~CT[~ O~ ~R A PER~OB OF 180.DA~,:'. O~';ZF';~ST~CT[~ FA~ TO ~E~ ALL <br />RE~I~TS OF STATE ~ ~D ~RI~:~ ~N~ B~.I~D]NG;;:~D z~ING ORDI~, ~IS ~IT <br />~ALL BEdE NULL ~O ~ID. ' <br /> <br /> ,:, , <br /> <br />REMARKS: MH FOR SL.,WL <br /> <br />OONAL. O E. ~OODLEY, MARION COUNTY 8UibDZNG. OF~TCIAL <br /> <br />'o~v ,~ vc l~-s~ ~,v, ~/~7 OFFICE 0OPY <br /> <br /> <br />