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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: 888-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />t am performing work on a property t own er occupy. <br />lam aregister~dbuilderOR( ) the authorized representative <br />of a registered builder, <br />The work will be per¢orrned by a registerer builder, <br />Other <br /> <br />this document, <br /> <br /> DATE:;;, 18/12/93 TINE: 9:51:48 <br />: OWNER: TAX LOT: CATEGORY: <br /> Cedars Resturant & Lounge lh'~c. COMMERCIAL <br /> OITiJ$ ADDRESS; j CONOTRUCTION TYPE'. OCCUPANCY: <br /> <br /> 200 N DETROZT AVE -~ b~N~RAS+CiTY: : tJ~b ,OCCUPANT LOAD: <br /> 9ETRDZT OR 77342 ~ETROZT ; NO <br /> <br />DAVID L. AYNON ............................................................... <br />P.O. 563 DETROIT, ORE 97342 SITE NUNBER-- <br />PHONE: 854.-3764 VALUATION: <br /> <br /> ; ~ : NO NO <br /> <br />TYPE: PLUNBIN§ <br /> <br />PERMIT OR APPLICATION NO: 985~667 <br /> <br />CONTRACTOR, NO, 84745 <br />Kev:Ln M Hills <br />PO Box 465 <br />ge~roit~ 97342-0008 <br />PHONE: 854-37?7 <br /> <br /> ITEM <br />COMMERCIAL EIXTU~, NEW CONST. <br />PLUMBING BASE FEE <br />PLUHBING STATE SURCHARGE <br /> <br />PAYEE: Kevin M Nills <br /> <br />¥OTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TNIS RECEIPT <br /> <br />QUANTITY AHOUNT <br /> i $9,00 <br /> <br /> $1.45 <br /> <br />$~0.45 <br /> $0.00 <br />$30-45 <br /> <br />BALANCE DUE $8.00 <br /> <br />INVOICE NO: 5~805 <br /> <br /> RECEIVED BY: PM TYPE: IN CHECK ¢: 0 <br /> * THIS IS NOT A PERNIT. THIS APPLICATION NUST ~} THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOgING HUST BE COMPLETED. IT,IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORHATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY ........... DATE ............. <br />REMARKS,, GREASE TRAP <br /> <br />CITY JURISDICTION: BY ........ DATE ........... <br /> <br />FORM # MO 15-56 REV. 4/gO OFFICE COPY <br /> <br /> <br />