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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 /> this document. <br /> · OA~E: 05/17/92 'FiME: 10:32:11 <br /> !tA~ ~OT'. ' ~TEGORY; ' <br />~OW~E~: H~K[NS , ~ERI' J JR. ~ 710500?2 R~JD~T~AL <br /> <br />~TUS ADDRESS; ~ ~RU~TI~ ~: ~ b~O~: <br /> <br />~ 11354 'J~ ~Y SE ~ <br /> [~RJ~ C~NI'Y [ NO ' <br /> <br /> 600 ~ V[~l' DR ~ <br /> ~R'r~D, OR 972~5 <br /> ~E: 371-048~ S[1'E NU~ER: 92-02014 <br /> <br /> ~ 29[ 8S ~ 1W ! AR ~ 48 <br />WIDTH'. ~DE~f;~:: r- ' ': .................... AREA ~ ',* , UN TS A~ ,~ ........... IRREG. LOT: y~CORN~RNnl ........... , <br /> <br />TYPE: PLUmiNG , PE~IIT OR APPLiCATiON NO.- 40250 <br /> <br />CONTRACTOR, NO+ <br />HAWKINS , ROBERT d JR. <br />B00 ~ ViE~QNT DR <br />PORTLAND, OR 9?225 <br />PHONE: 371-O483 <br /> <br /> iT~ ~J~NTITY <br />WATER LINES, I~T lO0 FEET 1 <br />PLUMING STATE ~JR~HAR~E <br /> <br />PAYEE= <br />RECEIVED <br /> <br />$2o.oo <br /> $~.oo <br /> <br />TOTAL NS3ESSED FEES <br />PREVIOUS RECEiP'rS <br />THIS RECE[P'F <br /> <br />~21.00 <br /> 21.00 <br /> $o.oo <br /> <br />BALANC6 DUE $0. O0 <br /> <br /> RECE[PT NO: <br />...................................... 2 ......... TYPE: CHECK <br /> <br />· ,,,~ I'HL~, 15 A VALt,O PERt~I~ ~:,, THIS,,IC~EI;~'.,T.,EXP.~R'E~ 1'80 DAY~ FRO~I IT~ ISEiUE DATE. J.P' <br />~;;~STRUCT.tO~I,'CEA~E~ :,FOR A~ PERi. OB OF~ ,180,,DAYS~,~'='' OR~ IF COIk~TRUC~T,,tON FALLS TO i~i~E:T ALL <br />RE[~rREPlEN-TS OF ~-"rATE ~ ANI) IVlA~.t~N,' COUNTY BU[LD.tN~ AND ZONING O~01NANC~. TH[$ PEIc~I.tT <br />,~-IALL EIEICOI~IE NULL AND VOIDs.. <br /> <br />REEflARK~: 100 FT WL <br />~ALO E. ~FJODLE¥, I~.RiE~N COU~fY BUILDING OFFIOiAL / BY ......................................... ~_~)~.. ........... <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, 4/90 <br /> <br /> <br />