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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 />OODE-A.PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />11/02/89 TIME: 12:29:23p TAX LOT: CATEGORY: <br />BUTTER, RALPH 90040-190 <br /> <br />RESIDENTIAL <br /> <br />890 gTH CONTRACTCI'I'Y: UGB; OCCUPANT LOAD; <br />AUMSV ILLE OR 97325 : <br />usb oF BUILDING: AUMSVILLE NO NO or ~[D,00M¢ <br /> <br />FO BOX 12522 <br />SALE~ OR <br />PHONE: 588-23?3 <br /> <br />DELDtAR III <br /> <br /> SITE NUMBER: 8?55 <br /> VALUATION: <br />TOWNSHIP: RANGE: ZONE: MAP: <br /> <br />WIDTH:8 DEPTH: 5 AREA; 25 uN,Ts: 8S ' iRREG.~OT: 2W CORNER: RS ~1 <br /> <br /> ?4 100 7400~00 SF NO NO <br /> <br />TYPE= PLUMBING <br /> <br />PERMIT OR APPLICATION NOs 9020017 <br /> <br />CONTRACTOR, NOt 344?3 <br />HENRY ALLUIS EXCV. <br />4376 FOREST RIBGE RD NE <br />SiLVERTON, OREGON 97281 <br />PHONE: 873~4347 <br /> <br /> ITEM <br />WATER LINES, 1ST 100 FEET <br />SENER LINES, 1ST 100 FEET <br />FLEET .SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />QUANTITY AI~4OUNT <br />1 $20.00 <br />I $30.00 <br /> $3.84 <br /> $2.50 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$56.34 <br /> $0.oo <br />$56.34 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: BUTTER, RALPH ~ IN'VOICE NO: 21248 <br />RECEIVED BY: PB ................. _~/~..... TYPE: IN CHECK ~: 0 <br /> <br />$ TMIS IS NOT A PERMIT. THIS APPLICATION NUST GO THROUGH A REVIBN PROCESS D~tERE THE <br />FOLLONING MUST I~E (:X3~IPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASEMRE THAT <br />ALL NECESSARY INFORMATION HAS BEI~ PROVIDED. <br /> <br />PLAN REVIEN: BY <br /> <br />RFJ~RKS: WATER/SENER <br /> <br />DATE CITY JURISDICTION: BY DATE ......... <br /> <br />,.OH~ ii M(; i,:1 ,~r, ¢~F;V ,~/~;' OFFICE COPY <br /> <br /> <br />