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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 />6~DDE-,~ PHONE 4::30 RM - 8::00 A M <br /> <br /> Othor <br /> <br />DATE: 06/01/89 TIME~ 10-+28:11a <br /> <br /> WALLACE, MINNET <br /> <br /> 9993 PORTER RD SE <br />AuMSVILLE OR 9?325 <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br />CONTRACT CiTY <br />MARION C~JNTY NO <br /> <br />SANE <br /> <br />PHONE: 749-2643 <br /> <br /> 1 <br /> <br /> 5_OOOOO <br /> <br /> SITE NUMBER: <br /> VALUATION; <br /> <br />9S 2N <br />AC NO <br /> <br />RESIDENTIAL <br /> <br /> 7471 <br /> <br />ZONE MAP <br /> <br /> EFU 62 <br />CORNER <br /> <br /> NO <br /> <br />TYPE: PLUMBING <br /> <br />PERMIT OR APPLIC~ATION NO: <br /> <br />CONTRACTOR, NO. <br />WALLACE, MINNET <br />SAME <br /> <br />F~HONE: 749-2643 <br /> <br /> ITEM <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />MOBILE HOME SEWER AND WATER CONNECTION <br />FLEET SURCHARGE -ZONE 5 <br />PLUMBING STATE SURCHARGE <br /> <br />9018408 <br /> <br />TOTAL AS,SE~ED FEES <br />PRE'ClOdS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />1 $20.00 <br />1 $30.00 <br />1 $25.00 <br /> $6.40 <br /> $3.75[ <br /> $o.oo <br /> $85.15 <br /> <br /> BALJ~NCE DOE $0.00! <br /> 17446 <br />PAYEE: WALLJ~CE, MINNET RECEIPT NO: <br />RECEIVED BY: al ........ , ....... TYPE; OK CHECK ~: 0 <br /> <br />~ THIS I$ NOT A PEI~IIT. THIS APPLICATION NUST GO THROU(~{ A RE"VIE~ PROCESS t4HERE THE <br />FOLLOINING NUST BE CONPLETED. IT IS THE :: RE~PONS~BILZTY OF THE APPLICANT TO A,.SSURE THAT <br />ALL NECEE~,W~RY INFORf4ATZON HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY .......... DATE¢__ <br /> <br />REMARKS: ~ CON, SL, WL R~?092 <br /> <br />CITY JURISDICTiON: 8Y <br /> <br />DATE <br /> <br />OFFICE COPY <br /> <br /> <br />