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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, ORE.,.GON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> I have read and agree to tho terms stated on the reverse side of <br /> <br />DATE: 08/31/88 .TIME: 3:52:41D <br /> <br /> GRIM, WARREN & JEAN <br /> <br /> 20886 HUBBARD cut OFF RD NE <br />AURORA OR 9?002 <br /> <br /> TAX LOT.' ............................ F~TE~(~Y;"' RESIDENTIAL <br /> CONSTRUCTION TYPE: ....................... ? ~6~F~il~¢; ...... <br /> <br /> CO N TRAO'f"~;~';; ....... I'~;, .................... t ~ F~" ~ 6~6 ". ..... <br />HARZ ~..~U.~Y ~ ....... ~ ..................... ~ .................. <br /> iN0 00 BEDROOMS <br /> <br /> SUBB V~SION <br /> <br />18598 HIGHWAY 99E NE <br />HUBBARD OR 9?032 <br />PHONE: 882-3433 <br /> <br />26000 <br /> <br /> SITE NUNB~'R: 5185 <br /> VALUATION: <br /> .... ~,-~-~'; .................. i'~-674'~; .........................., <br /> ................... ............. ........ ! ....... <br /> ~RRE~, LOT ~O~NER: <br />AC NO ~ <br /> <br />TYPE: PLUMBING <br /> <br />CONTRACTOR, NO. <br />GRZM, WARREN & JEAN <br />18598 HIGHWAY 99E NE <br />HUBBARD OR 9?032 <br />PHONE: 982-3433 <br /> <br />PERMIT OR APPLICATION NO: <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE, NEW CONST. <br />WATER LINES, 1ST 100 FEET <br />PLUfC~ING B~E FEE <br />FLEET SURCHARGE -ZONE 6 <br />PLUMBZNG STATE SURGHAR'GE <br /> <br />10411 <br /> <br /> (;~JANTITY AMOUNT <br /> 11 $99.0¢ <br /> 'l $20.00 <br /> $20.00 <br /> $7.68 <br /> $6.95 <br />ToTAL,AsSESSED, FEES $153.63 <br />PRb-"VlOUSRBCEIpTS $153.6~ <br />THIS RECEIPT $0.00 <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY; P8 "FYPE: CHECK ~: <br /> <br />~ THIS IS A VALID PERNIT ~ THIS, PERN;T BXPIRES 180 DAYS FRON ITS ISSUE DATE. IF <br />CONST!~UCTION CE. AS.~ FOR A ~ERIOD OF180 DAYS. OR IF CONSTRUCTION FAIL..S TO MEET ALL <br />RE(~.IIREMENTS OF STATE L.A~E~ ANBMARION COUNTY BUILBINGAND ZONING ORDINANCI~, THIS PEI:~4iT <br />~ALL 8ECOIl~E NULL AND VOID. <br /> <br />REMARK.S: 11 FIX NL R~4408 <br />OONALD E_ ~¢3ODLEY, MARION CouNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />