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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 - <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />DALE: 03/08/91 TIME: 8:31 ;42 <br /> <br />aw~ee FIATF1BLD, ~:~-~E~ TAX LOT <br /> <br />SITUS ADO~SS ' CONSTRUCTION TYP~ <br /> <br /> ~932 FER~CE ~E SE <br /> 1UBER OR 97392 bONT~ACT CITy UG~ <br /> ~R~ ~N1Y NO <br /> <br /> SALtCJ~I OR 9'7304 <br /> PHONE: ,382-6335 SITE NUI~IBER~ ~ <br /> VALUA [ ! ON: <br /> <br />LO[ I~LOCK $bC FlOW TOWNSHIP ' RANG£ ZONE MA~ <br /> 26 8S 2~ AR 51 <br /> 82 230 18860. 8F NO NO <br /> <br />CATEGORY RE]Si DEN1 !&~ <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF 8E0~00Mb <br /> <br /> ~YPE: PLUM~iNG PER~iT OR APPLiCATioN NO: 9030805 <br /> CONTRACTOR, NO+ <br /> HAT~1ELD_ ST~VEN <br /> 2269 SALEM OALL,A5 <br /> ~¢~LE~ OR 97304 <br /> PHONE: 362~6335 <br /> <br /> lief4 qUANTiTY AI~OUN'f' <br /> WATER LJNF.~, 1SI' 10O P'EEF 1 $20.00 <br /> MOBILE HO~ BEWER AND ~AI~ROONN~CI"iON 1 $28.00 <br /> PLUIV~iNG STARE SURCHARGE $2.25 <br /> <br /> I'O%AL A~E~SED FEES <br /> PREVIOUS RECEIPTS <br /> THiS RECEIPT <br /> <br /> BALANCE CUE $47+25 <br /> <br /> PAYEE: ,(JJw RECEIPf NO: <br /> RECEIVED BY~ ~ ~. 'fYPE~ CHEC~ ~= 0 <br /> <br />~ THiS ~ NOT A P~JT. TH~ APPL~OAT~ON I~/¢~¥ 6t0 THROUCH A REViVal PROOE~8 I~iEREi THE <br />I~OLLOI~N~ IVUST BE ~f4PLET£D. ZT ~ THE Rlfi~PON~LZTY OF THE APPL~OANT TO A~.~UI~E THAT <br />ALL NIBF.~!~t~Cd~r tMFOI~vlATtC~N HA~ BEEN PROViDe:). <br /> <br />OAT6 ............. <br /> <br />PLAN REVIEW: BY ................... DATE .................. CiTY JUR!SOICTiC)N: ~Y ............ <br />R~J"4~RK~C~ WATER LiNE & CONN <br /> <br /> <br />