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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM: OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4.30 PM - 8::00 AM <br /> <br />Other. <br /> <br />DATE: 11/15/88 TIME= 11:.57:05a <br /> <br /> OETROIT STATE PARK <br /> <br />B~TUS ADDRESS <br /> <br />SIGNATURE OF APPI. ICAN1 <br /> <br /> DATE <br /> <br />4? MILE POST. NO SANTIAM HNY SE <br />DETROIT OR 9?$42 <br /> <br />ESE OF BUILDING <br /> <br /> CONTRACT CIIY <br /> <br />MARION COUNTY <br /> <br />201:)24 SILVER FALLS HNY SE <br />SUBLIMI'FY OR 9?385 <br />PHONE= 872-8681 <br /> <br />LOI BLOCK SECTION TOWNSHIP <br /> 10 <br />WIDTH DEPTH AREA UNITS <br /> 104. 000 AC <br /> <br />NO <br /> <br />SITE NUFBER: 5942 <br />VALUATION: <br /> <br /> BAN(}E ZONE <br /> <br /> ,RR~G LOT CORN~ <br /> NO <br /> <br />RESIDENTIAL <br /> <br />TYPE: PLUr~B ING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />DETROIT STATE PARK <br />20024 SILVER FALbS HNY SE <br />SUBLIMITY OR 97385 <br />PHONE: 873-8881 <br /> <br /> ITEM <br />R~IDENTIAL FIXTURE. ALTERATIONS <br />NATER LINES, 1ST 100 FEET <br />SDCtE. R LINES, 1ST 100 FEET <br />SENER L[NE~, EA. ADDL. 100 FEET <br />PLUMBING 8ABE FEE <br />FLEET SURCHARGE =ZONE 7 <br />PLUIV~3ING STATE SURCHARGE <br /> <br />9012384 <br /> <br />TOTAL A~SESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY Af40UNT <br />2 $18.00 <br />1 $20.00 <br />1 $30.00 <br />1 $15,00 <br /> $20.00 <br /> $8.96 <br /> $5,15 <br /> <br />$117.11 <br /> $0.00 <br />$117.11 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVED BY: JiB .......... TYPE.- OK CHECK $t: ? 92197t <br />.......................* ts .CT A P" IT. ' s 'F TioN <br /> ~L~ ~T BE ~L~ED. IT IS ~E ~IBILI~ ~ ~E A~LIC~T TO ~ ~T <br /> ~L N~RY IN~TI~ H~ BE~ P~ID~. <br /> <br />PLAN REVIEW: BY <br /> <br />REMARKS: 2 FIX NL SL <br /> <br />__ DATE ........ CITY JURISDICTION= BY ....... DATE .......... <br /> <br />~or~ ,* M<. ,~s~ ~ 6.c,;' OFFICE COPY <br /> <br /> <br />