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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:S0 <br />24 HOUR CODE-A-PHONE: 58B-7904 <br /> <br />DATE_~ 08/14)/92 TTHE: 15:2:5:50 <br /> .... ~ATEGORY; <br />PITTERLE, ELiSE K : 4026:5000 ' COMMERCIAL <br /> O~UPANCY <br /> <br /> 10575 CHAMP0EG RD NE ......... iODCUPANTLOAD: <br /> AURORA OR 4)7002 ~ ~II~T ~ ~C~ C~T~iJ N r Y t Ji~l~: I <br /> <br /> NO 0¢ BEDRooMs: <br /> <br />MAILIN8 AOCRESS; <br /> <br />10:569 CHAMPOEG RD <br />AURORA, OR 97002 <br />PHONE: 678--1228 <br /> <br />SITE NUMBER: 92-01859 <br />VALUATION: <br /> <br />.........................SECTION: TOWNSHIP: RANGE: ~6~'i <br /> <br /> 6 4S , 1W , EFU <br /> AREA; ' UNITS: IRREG. LOT'. : CORNER: <br /> 23.4 : AC NO NO <br /> <br />TYPE: PLUMSING <br /> <br />PERMIT OR APPLICATION NO: 41905 <br /> <br />CONTRACTOR, NO. 33572 <br />CANBY PLUMBING <br />805 NE 4TH <br />CANBY~ 9701~ <br />PHONE: <br /> <br /> ITEM <br />COMMERCIAL FIXTURE, NEW CONST. <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES, iST 100 FEET <br />PLUMBING BASE FEE <br />PLUMBING STATE SURCHARGE <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />TMIS RECEIPT <br /> <br />QUANTITY AHOUNT <br />7 $6:5.00 <br />1 $20.00 <br />1 $30.O0 <br /> $20.00 <br /> $6.65 <br /> <br />$1~9.65 <br />$i18.65 <br /> <br />BALANCE DUE $0400 <br /> <br />RAYEE: CANSY PLUMBING RECEIPT NO; 44073 <br />RECEIVEO BY: DM2 ................................... TYPE: OK CMECK ~: 14642 <br /> <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR iF CONSTRUCTION FAILS ¥0 MEET ALL <br />EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONIN~ ORDINANCES, THIS PERMIT <br />SALL BECOME NULL AND VOID. <br /> <br />REMARKS: ? FIX/WL/SL ,~,~.~--~"/~'/'' <br />OONALO E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM/~ MC 15.56 REV. 4/90 <br /> <br />OFFICE COl~ <br /> <br /> <br />