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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 /> CODE-A-PHONE'. 588-7904 <br /> <br /> i am performing work on a Brogerty [ own or occupy. <br /> <br /> OtherThe work will be performed by a registered builder, <br /> f have read and agree to the terms stated on the reverse side of DATE: <br /> this docu¢~enh <br /> <br /> I) :'. " r ~" ' . ,:-. . <br />'OWNE~, AIR. 0.Gf.t.~Z~ II.~E ..... 5,,,~,~. 08 <br />. } fA~"ES~: ~ ~A?~'b~,. : <br />~ ~AVIS, WIi,,.LIAN G,, & REBECCA L. ~ 58585-0~8 ~ EESIDEN'TIAL <br />[SITUS ADDRE$S: CONSTRUCT)ON TYPE', <br /> <br /> 8212 DAVI~ RZD(;E DR SE ~'~?~f-EiTv; <br /> AUMSVIL, LE OR 97325 ; MARION COUNTY NO <br />[O'~ Or ~U~L'G~a~'i ..................................................................................... <br /> <br /> SANE <br /> , SITE NUMBER: <br /> PHONE~ 897-3484 VALUATION: <br /> <br />)LOf~ m BLOCK: i SECTION'. ; TOWNSHIP'. ] RANGE: <br />i i ' <br />[~IDTH: iDEPTN; 'i ......................... AREA; =j UNITS: ~---=k~i IRREG. ....................... LOT: /CORNER:~u% J- ...~ <br />i ~.87~ AC j NO ~ NO <br /> <br />TYPE: PLUMBING <br /> <br />CONTRACTOR,; NO., <br />DAVIS,, WILLIAM 6. <br />SAHE <br /> <br />PhJOhmE: 897-:5484 <br /> <br /> .1;TEN <br />WATER L,i[NE~, 1ST ~.ee FEET <br />WATER LINES., EA. ADPt.,, 18~ FEET <br />PLUMBING BASE FEE <br />PLUMBII4~ STATE SURCHARGE <br /> <br /> PERNIT OR APPLICATION <br /> <br />& R~;BECCA L. <br /> <br />9~47629 <br /> <br />TOTAL ASSESSED FEES <br />P~EVIOUS RECEIPTS <br />THiS RECEIPT <br />BALANCE'gU~ <br /> <br />QUANTITY AMOUNT <br />1 $20.00 <br />2 $30.00 <br /> $20.00 <br /> $7,,50 <br /> <br />$73.50 <br /> $0.00 <br /> <br />$0.,00 <br /> <br /> F'A~FE: DANIEL E S~YI)E~-,~ RECEIPT NO: 49~09 <br /> RECEIVED BY: I,~1:) .[~[X ~c¢,, TY~E: CK CHECK 8. ~9'~ <br /> <br />FOLLOWING MUST BE COMPLETE~. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />FmI..AN REVIEW: BY ............................. <br /> <br />RE;HAI,dx~,. 280F'T' 14ATER LINE <br /> <br />DATE <br /> <br />CITY JURISDICTION: BY ............. DATE .......................... <br /> <br />~og~ ¢ ~¢ ~s-~ ~v. 4~ OFFICE COPY <br /> <br /> <br />