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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE ,4::30 P~,M, - 8::00 A,,M <br /> <br />DATE~ 11/]4/89 TIME; 9;50: tga <br />OWNFR <br /> GARDNER, STEVEN & CARLA <br /> <br />TAX I CT <br /> <br />CONSTRUCTION TYPE <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />RESIDENTIAl_ <br /> <br /> 8764 SHAW SQUARE RD <br />,~DMSV I L,L E OR <br /> <br />USb OF BUILDING <br /> <br />97325 <br /> <br />SE <br /> <br /> CONTRACT CITY <br /> <br />,~RION COUNTY <br /> <br />UGB <br /> <br /> NO <br /> <br />SUBDIVISION <br /> <br />2590 BROWN RD <br />SALEM, OR 9?305 <br />PHONE; 362~8719 <br /> <br />TYPE~ PLUHB ING <br /> <br /> 24 85 <br /> 5_00000 AC <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />GARDNER, STE'VEN & CARLA <br />2590 BROWN RD <br />S~ ~- <br /> ~L,.rJ',I, OR 97305 <br />PHONE: 382-8.13 <br /> <br /> iTEM <br />RESIDENTIAL FIXTURE, NEW CONST- <br />WATER LINES, 1ST 100 FEET <br />WATER LtN~5', EA. ADDL. 100 FEET <br />PLUMBING BASE FEE <br />?LEET $gtRCHARGE -ZONE 3 <br />~LUMBING STATE SURCHARGE <br /> <br /> SiTE NUMBER: 5982 <br /> VALUAT I ON: <br /> <br /> 2w AR8 <br /> NO I',!0 <br /> <br />9012463 <br /> <br />TOTAL ASSE~xSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY A~ciOUNT <br />? $63.00 <br />1 $20.00 <br />I $15.00 <br /> $20.00 <br /> $3.84 <br /> $5_90 <br /> <br />$12'?.74 <br /> $o_oo <br />$127,74 <br /> <br />BALANCE 0UE $0.00 <br /> <br />P~YEE: GARDNER, STEVEN & CARLA ~/ RECEIPT NO: 13221 <br /> <br />~ THIS IS NOT A PER~dlT. THIS APPLICATION NUST GO THROUGH A REVIEW PROOE~ WHERE THE <br />FOLLOWING f4dST BE CO¢4PLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE ]]4AT <br />ALL NECESSARY INFO~TION HAS BEEN PROVIDED. <br /> <br />PLaN REVIEW~ BY .......... <br /> <br />RENARK$~ ? FIX WL R~5315 <br /> <br />DATE ..... CiTY JURISDICTION: BY ........ DATE: ........... <br /> <br />FOnM ,, MC I~ '!(, F4F~ e'8' OFFICE COPY <br /> <br /> <br />