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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, ORFGON 97301 <br /> <br /> PHONE: 588-5147 8:00- 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy. <br />t 8m a registered builder OR ( ) the authorized representative B~GNATURE OF APPLICANT~ ~'~ <br />of a registered builder, ~ <br />Tf~e work will be pedormed by a registered builder, <br />Other .... <br />{ have read 8nd agree to the terms stated on the reverse side of DATE; <br />this document <br /> <br />owN[~TE: 02/14./92 <br /> <br /> BANT iAM EON 11'ARY <br />S~TUS AQDREBS: <br /> <br />TA~ EOT: CATEGORY: <br /> <br /> 56282-000 <br />CONSTRUCTION TYPE: OCCUPANCY: <br /> <br />COf~ERC i AE,, <br /> <br /> ~ONTRACTOiTYL i b~B: ~CU~ANT LOAD: <br /> g813 MILL CREEK RD -- ~ <br />AUIV~ViLLE 97 325 <br />USE OF BUILDINg: ~U~I~VILL~ NO :NO OF B~O~OOMS <br /> <br />MAILIN¢~ AD6~E~S} <br /> <br /> PO BOX 189 <br /> ~;~Jf~Ll M.t 'fY 97385 <br /> PHONE: <br /> <br />LOT: ' BLOCK: <br /> <br />WIDTH: iCEPTH: <br /> 188: <br /> <br />SECTION; <br />AREA; <br /> <br />MAP: <br /> <br />I'YPE: PLUmiNG <br /> <br /> SiTE NUIV~ER: 92-00508 <br /> VALUA'r ION: <br /> TOWNSHIP; RANGE'. ZONE: <br /> <br />38 ' ' UN~TS; 3S IRR~G LOT: 1'~" 8CHEER: J. ND <br /> <br /> SF, YES NO,,, <br /> <br />PER~4iI' OR APPLICATION NO: 38338 <br /> <br />CON'rRACTO~, NOt 00312 <br /> E.~ePy ~ ~xls Con~tPuction <br />PO Box 398 <br />Sta~on 97383-0000 <br />~g: ~6g-7751 <br /> <br />TOTAL AE~EDFEE~ <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />r~/~l'fil'Y k~)OUNT <br /> g $81_00 <br /> <br /> $20.00 <br /> $7,55 <br /> <br />$158.55 <br /> $0,oo <br />$158.55 <br /> <br />'SAL,C~CE DUE $0_00 <br /> <br /> 1 TEN <br />COI~IMERCIAL FIXTURE, NE~ CONST. <br />{~tA'FER LiNE~, 1S'F 100 FEET' <br />SE~ER LIN~, I~T 100 FEET <br />P~iNG B~E FEE <br />PLU~[NG STATE ~A~E ' <br /> <br /> PA.Y.E£: Emeny & Son~ Ccnst~uctfm lnc, , . . iNVOICE NO: 40331 <br /> RECEIVED BY: PB TYPE: CK CHECK ~r: 15557 <br /> <br />* THIS I~5 A VALID PERi~J[T * 3HIS ~JT EXPJRE~ 180 DAY5 ,FI~0~I ITS IEx?CJE DATE. iF <br />CONSTRUCT[ON ~ FOR A PERZOD. OF 180 OR IF C~N-~[TRUCTZON FAZL~ TO MEET ALL <br />RE~IREI~E~T~ OF STATE LAN~ ~ND MAR[ON COUNTY BUILDING ~ID ZONiN(~ ORDINANCES. TH;IS PER~fT <br />~HALL BE[:~ME NULL AND VOID. <br /> <br />REMARk: g FiX & t~.TER/SEWER LINES <br />OONALO E. NOODLgY, ~RioN COUNTY BUILDING OP'~ICiAL / BY ............................................ ~ ............................................ <br /> <br /> OFFICE COPY <br />PORM # MC 15-56 REV, 4/~0 <br /> <br /> <br />