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MARION COUNTY <br /> <br />,3,ATE: ~8/!2/89 ?;ME: !1:50:59a <br /> <br /> GR];M, ~ARREN & JEAN <br /> <br />RESiDENTiAL, <br /> <br /> 20886 HLIBSARD CIJT OFF: RD. <br />AURORA OR 9'7092 <br /> <br />,~,AR ,. ON COUNTY <br /> <br />NO <br /> <br />'-'>HONE ,: 982-94.38 <br /> <br />SiTE NUMBER: <br /> VALUAT];ON ~ <br /> <br />5185 <br /> <br />4,26C00 AC NO <br /> <br /> E,"-"U <br /> <br />NO <br /> <br />"vPE: : ,...UMBINu~ <br /> <br />CONTRACTOR, NO. <br />GR~M, WARREN & ,,JEAN <br />18598 HIGHWAY 99E hie <br />HUSSARS 0R 979:;2 <br />PHONE: 982-'-3433 <br /> <br />RESiDENTiAL FIXTURE, NEW CONST, <br />MATER LINES, ?ST '~03 FEET <br />PLUMBING EASE FEE <br />~i...EiET SURCHARGE -ZONE 8 <br />PLUMSING STATE SURCHARGE <br /> <br />TOTAL ASSESSES FEES <br /> <br />QUANTZTY AMOUNT <br />11 $99.90 <br />i $20.00 <br /> $20.00 <br /> <br /> 8.98 <br /> <br /> $o.oo <br />$158_83 <br /> <br />~. ,t. AN,.,~: ..... $9.09 <br /> <br />PAYES: GRIM, ~ARREN & JEAN ./~__..~- RECEIPT NO: ]1'109 <br /> <br />FOLLOWING ~UST BE CZ)MPLETBB. IT IS THE RESPONSZSILI]~¢ OF THE APPLICANT TO AS,SURB THAT <br /> <br />PLAN REVIEW: SY ......... DATE ............. <br />REi'dAR!'(,'r'3: ~] FIX ;~L Rt~4,¢08 <br /> <br />u U x ~.~,..l,.. ~QN 8Y ......... DATE <br /> <br /> <br />