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MARION COUNTY <br /> B/JII I)IN% ~NS?ECTION <br /> <br />DATE: 12/29/88 TIME: 2:29:39p <br /> SUTTER, RALPH <br /> <br />RESIDENTIAL <br /> <br /> 920 9TH ST <br />AUMSVIbLE OR 9?325 <br /> <br />AUIv~SVILLE NO <br /> <br /> DE:. MAR ~3 <br />PO 80X 12533 <br />SALEM OR 97309 <br />PHONE: 588-2373 SITE NUMBER: <br /> VALUATION: <br /> <br />6281 <br /> <br /> 25 8S 2N RS <br />100 7400+00 SF NO NO <br /> <br />TYPE: <br /> <br />PER, lIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 82534 <br />BILL. GOFF EXCAVATING <br />1357 TALSOT RD SE <br />JEFFERSON OR 9?352 <br />PHONE: 32?-3045 <br /> <br />9013251 <br /> <br /> ITEM QUANTITY <br />MATER LINES, 1ST 100 FEET '1 <br />SEWER LINES, 1ST 100 FEET 1 <br />PL_EET SURC~A~GE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />A~OUNT <br /> $20.00 <br /> $30.00 <br /> $3.84 <br /> $2.50 <br /> <br />$56.34 <br /> $o.oo <br />$56,34 <br /> <br />BALANCE 0UE $0.00 <br /> <br />R~CEIVED BY: ........................ TY~E: IN CHECK ~: O <br /> <br />* THIS IS NOT A PEI~I~T. THIS APPLICATION r~UST 60 THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING ~4UST BE CO~IPLETED. ~T IS THE ~E~PONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECES,.~RY INFORMATION HAS BEEN ~ROVIDEO. <br /> <br />PLAN REVIEW: BY .......... DATE ............ <br />REtiiRKS: WATER/SEWER LINES <br /> <br />~,TY JURISDICTION; BY ......... DATE <br /> <br /> <br />