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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 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br /> <br />ow~TE'- og/28/g9 T;[RE: 13: 18; 1':~ . fAX ~.bf; <br /> ANDAL, B.P. & <br /> <br />DATEGORY; <br /> <br />OCCUPANCY: <br /> <br />BEN 'f' 1 AL <br /> <br /> 775? E~IERNAN RD <br />AUIv~VI LL.E <br /> <br /> CONTRACT CITY: UGB: <br /> <br />OR 9?325 <br /> ltd.'RI'ON COUNTY' ' NO <br /> <br />OCGUPANT LOAD: <br /> <br />510 ~N 7TH <br />~UBLiMITY OR 9?265 <br />PHONE: 769-5969 <br /> <br />CA~ELL;[AHE[~q'TS NO.~ <br /> <br />SiTE NUFI:3 ER .* 10905 <br />VALUAIi I ON: <br />RANGE', ZONE: <br /> <br />8S IRREg. LOTI CORNER: AR <br /> <br />AC NO ' YES <br /> <br />48 <br /> <br />TYPE: PLUMING <br /> <br />CONIRACTOR. NO. <br />ANDAL, O,F. & B.J. <br />510 ~ 7TH <br />~LI~ITY oR 97385 <br />~E: 769-5969 <br /> <br />PERM;[T OR APPLICATION NO: <br /> <br />1 'rEj4 <br />RESiDENTiAL FIXTURE, N~'~ G'ONBT. <br />b/ATER LINES, 1ST 100 FEET <br />,S~R L[N~.,~, 18'f 100 FEET <br />~iNG B~E FEE <br />FLEET' ~HA~E -Z~E 3 <br />PLUMING STATE ~A~E <br /> <br />26291 <br /> <br />QUAN'I'II'Y AlvlOUN'F <br /> 9o.oo <br /> 1 ~2o.o0 <br /> <br /> $20.00 <br /> <br />TOTALAS,SES~E,,O FEF_~ $171.84 <br />PREVZ:OU~ RECEIPTS $171.84 <br />THiS RECEZP'r $0.o9 <br /> <br />8A~CE OUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: P8 ............................. :;i ..................................................... TYPE= CHECK ~: 0 <br /> <br />THIS iS A VALID Pi~'AIT· THIS PERt4iT EXPIRI~ 180 DAYS FROI~ IT~ I~¢JE DATE. IF <br /> <br />CONSTI~JCTION CF_ASk'~ FOR APERIOD OF ~80 0AYS, OR iF ~ST~CTI~ FAI~ TO MEET ALL <br />R~IR~T5 OF ~TAT~ ~ ~O~I~ ~NTY BUILDING ~O Z~ING O~IN~, THI~ PE~I'r <br />~HALL BEdE NULL ~P ~IO. <br /> <br />REMARF~: lO F;[X HL ,~ <br /> <br />DONALD E. ~OODLEY, MAR;[C~ IX}UN'fy 8UILO;[NG'OFF;[CIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />