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MARtO~.CO~U.NTY BUtLDING tNSPECTtON <br />SE'NATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-$147 <br />CODE-A-PHONE 4:30 RM. - 8;00 A,M, <br /> <br />DATE: 04/12/89 , TIME: 12:27;47p <br /> SMITH, FRED <br /> <br /> 310 LAKECREST DR <br />DETROIT OR 9?342 <br /> <br />USE OF 8OILDING: <br /> <br />DETRO I t NO <br /> <br />MAILING ADPRE$$: <br /> <br />~3367 PORTLANO RD NE <br />GERVAIS. OR 9702B <br />PHONE: 654-220? <br /> <br />108 161 <br /> <br /> SITE NUMBER: <br /> VALUATION: <br /> <br /> I 10 5E <br />17388.0 SF NO <br /> <br /> RE~ I DEN"f I AL <br /> <br />OCCUPANT LOAD: <br /> <br /> 6889 <br /> <br />ZONE: MAP: <br />M/F <br /> <br /> NO <br /> <br />TYPE: PLUM~ING <br /> <br />CONTRACTOR, NO, <br /> <br />13387 PORTLAND RD NE <br />GERVAIS, OR 97026 <br />PHONE: 834-220? <br /> <br />PERMIT OR A, PPL~CATION NO: 9015158 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE, NEW ~NST, <br />MATER LINES, 1ST 100 FEET <br />SEWER LINES, 1ST lO0 FEET <br />PLUMBING BASE FEE <br />FLEET SURCHARGE ',-ZONE ~ <br />PLUMING STATE SURCHARGE <br /> <br />TOTALASSESSED FEES <br />PREVZ3US ,RECEIPTS <br />TMI$:RF. CB~P~ <br /> <br />QUANTITY AMOUNT <br />4 $36_00 <br />1 $20.00 <br />1 $30,00 <br /> $20.00 <br /> <br /> $5.30 <br /> <br />$120.26 <br /> $0.00 <br /> $80,38 <br /> <br />$99.90 <br /> <br />PAYEE: ,~", ~?~,NVO I CE NO: 161 O 0 <br />RECEIVED BY: CL ,T~,PE?,'?i,,,',~,,~ ,CHECK ~: <br /> <br />FOLL~ING ~ST BE ~PL~ED., ,%%~',,;~S ~E,,, :R~SZBI~I~' OF,:]~E ,'APPLIC~T TO ~RE ~AT <br /> <br />PLAN REVIEW: 8Y .......... D~TE ' "'O~TY 'JURZSDICTZON; BY ......... PATE ......... <br /> <br />RENARKS; 4 FIX~ NL,SL (SINKY~';~;~OW~R) ' ' "' <br /> <br /> <br />