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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 A,M <br /> <br />The work will be performed Dy ,~ registered builder <br />Other <br /> <br />DATE; 11/28/89 TIME; 10;43:30 <br />OWNER <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> 90040-320 <br /> <br /> CONSTRUCTION TYPE <br /> <br /> 855 8TH <br />AUMSVI LLE OR 97325 <br /> <br />US~ O¢- ECUILO~NG <br /> <br /> CONTRACT CITY UGB <br /> <br />AUMSV! LLE NO <br /> <br />MAILING ADDRESS <br /> <br />PO 8OX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769-7364 <br /> <br />19 5 <br /> 75 100 <br /> <br />DELMAR I I I <br /> <br /> SITE NUMi~ER: <br /> VALUATION: <br /> <br /> TOWNSHIP RANGE <br />25 8S 2W <br /> UNITS IRREG ~OT <br />7500. SF NO <br /> <br />CATEGORY <br /> RESIDENTIAL : <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />NO OF B£DR00MS <br /> <br /> 8926 <br /> <br /> RS 51 <br />NO <br /> <br />TYPE: PLUMBING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. 44551 <br />DraIN BETHEL & SONS EXC <br />P.0. BOX 504 <br />TURNER OR 97392 <br />PHONE: 743-2343 <br /> <br />9020464 <br /> <br /> ITEM (TJANTITY <br />HATER LINES, 1ST 100 FEET 1 <br />SEWER LINES, 1ST 100 FEET 1 <br />FLEET EtJRCHARGE -ZONE 3 <br />PLUM~ING STATE SUI:~-'IHARGE <br /> <br />TOTAL ASSEE~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AteDUNT <br /> $20.00 <br /> $30.00 <br /> ~3.84 <br /> 2.50 <br /> <br />$56.34 <br /> $o.o0 <br />$56.34 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: TCt4 DORAN ~¢¢ INVOICE NO; 21717 <br /> RECEIVED BY: P8 ~'~'~'_~ TYPE: IN CHECK ~:: O <br /> <br />~ THIS IS NOT A PEENZT. THIS APPLICATION NUST GO THROUGH A EEVIEN PROCESS ~4ERE THE <br />FOLLO~IN~ f4[JST BE CO~IPLETED. IT IS THE RESPONSIBILITY OF THE APPLICCClT TO ASSURE THAT <br />ALL NECESSARY INFOE~IATION H~ BEEN PROVIDED. <br /> <br />PLAN REVIEN: BY DATE CITY JURISDICTION: BY DATE <br />RENARKS: WATER/SEWER LIN~D~ <br /> <br />OFFICE COPY <br /> <br /> <br />