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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 /> <~f a registered builder. <br /> The work wil~ be performed by a registered builder. <br /> <br /> DATE: 10/09/92 TIME: 16:19:43 <br />I ROSE, FRANKLIN i , RESIDENTIAL <br /> <br /> 11344 JAMES W~Y 8E ~ ~f~ ~UHTY } ~: :O00UPANT LOAD: <br /> AUHSV~LLE OR 97325 <br /> <br />;~XJUNG ADd~A~A; ........................................................................................................ <br /> <br /> 5210 R~VER RO~D N ~1000 i ..................................................... <br /> KEZZER 97~03 OFFICE ~9~-~624 X-~50 SITE NUN~ER= 92-0~199 <br /> PHONE: 390-9353 V~LUATION: <br /> <br /> ~ 1e ~ AR 48 <br /> t L .., "' <br /> <br />TYPE: PLUMBING <br /> <br />PERMIT OR APPLICATION NO: 42403 <br /> <br />CONTRACTOR, NO. <br />ROSE, FRANKLIN <br />5210 RIVER ROAD N ~1000 <br />KEZZER 97303 OFFICE 393-3624 X- <br />PHONE: 390-9355 <br /> <br /> ITEM <br />WATER LINES, 1ST ZOO FEET <br />WATER LINES, EA. ADOL~ 100 FEET <br />SEWER LINES. [ST 100 FEET <br />PLUNBING BASE FEE <br />PLUMBIN6 STATE SURCHARGE <br /> <br /> TOTAL ASSESSED FEES <br />PREV,~QU$ RECEIPTS <br />.'THIS:RECEIPT <br /> <br /> BALANCE::OUE <br /> <br />QUANTITY AMOUNT <br />i $20.00 <br />2 $50.00 <br />i $30.00 <br /> $20.00 <br /> $5.00 <br /> <br />$105.00 <br />$105.00 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVEO BY: cr ........... ~ ................. TYPE: CHECK ~: 0 <br /> <br />* THI~ IS A VALID PERMIT * THIS'PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR RPERiOD 'OF:.I80::O:RYS~ OR[F C~NSTRUCTION FAILS TO NEET ALL <br />EQUIREMENTS OF STATE LA~S AND MRRJON. COUNTY BU[LD]H~ANO ~ZDNING ORDINANCES, THIS PERH[T <br /> SALL BECOME NULL AND VOID. , · ,, <br /> <br />REMARKS <br /> <br />DONALD E. WOODLEY, HARION COUNTY BUILDING OFFICIAL <br /> <br />BY <br /> <br />OFFICE COPY <br /> <br /> <br />