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MARION COUNTY BUILDING INSPECTION <br />SENATOR IBLDG. 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 />lam aregistered builder OR( )theauthorizedreoresentative <br />of e registered builder. <br />The work will de pedormed by a registered builder. <br />Ottler .... <br />I have reed and adree to the e ms sta ed on the reverse side of DATE: "/~[ ~''~ <br /> <br />owNfCC,'l'E: 04/01/91 TIME: <br /> WATER~, BRIAN <br /> <br />9=22;11 <br /> <br />RESIDENTIAL <br /> <br /> 8633 "A" ~A~I SqUAP~ RO <br /> AUMSVI LLE OR 9?325 <br />USE OF ~UILDING'. <br /> <br />!OCCUPANT LOAD: <br /> <br /> [40 OF BEDROOMS <br /> <br />LOf B~OCK <br /> <br /> AnEA: 13 i <br />;885: <br /> <br />NUMBER: 12621 <br />VALUA'I- i ON: <br /> <br /> LOT: ~ i CORNER: AR5 <br /> NO ~, NO <br /> <br />I'YP~; PLUlV~ING PERMI'r OR <br /> <br />WA'f ERRS, BRIAN <br /> <br />PHONE= 36~-4597 <br /> <br /> l'f'E,~l <br />IvlOBILE HOf~E 5EWER AND WATER <br />PLUF4BiNG STATE ~.JRCHARGE <br /> <br />RECEIVED BY: PS <br /> <br />:~ THiS IS NOT A P.F-R~I1r. <br />FOL/_O~IN~ ~JST BE <br />ALL NE~-'E~,ARY IN~ORI~IAT! <br /> <br />PLAN REVlE~z BY <br /> <br />RPJViARKS.* CONN RAt53; <br /> <br />NO: 9031251 <br /> <br /> QUANI'III'Y AMOUNT <br />iON I $25.00 <br /> $~_25 <br /> <br />:['OYAb A,.~ED FEES: $26.25 <br />:i:>I~EVIOU$ RECEZP'¥8 $0.00 <br />'~MISRECEZP'r $26.25 <br />BALANCE ~E $o.0o <br /> <br /> .RECEIPT NO: 33002 <br /> TYPE: CK CHECK ~: 5320 <br /> <br /> :610 THII~DU6t-i A REVIEW PROCIE~ ~-IERE THE <br /> ~T '~ ~B~LITY O~ THE APPL~C~T TO ~ THAT <br /> BE~ ~I~D. <br /> <br />~T~ CITY JURISD~CTI~: 8Y .............................. DATE <br /> ........ <br /> <br />FO~U,~ MC ~S-.~ ~eV. ,~mO 0 F FIDE COPY <br /> <br /> <br />