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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: S88-7904 <br /> <br /> DATE: 08106193 TINE: <br /> 11685 LARK CT NE <br /> <br />MAILING ADDRESS', SUBDI~U~Y ~EA~OWS <br />· 22el N HEMZZES ~R <br /> <br /> FH~NE: 289-'~9~2 V~LU~TZON= : <br />.............................. J ......................... I .............................. :~ J / J <br /> <br />TYP[= PLU~IH6 <br /> <br />PERHIT OR APPLICATION NO: 48845 <br /> <br />60NTR¢CTOR~ NO. <br />MASCHKE. LES & BETTY <br />2201N MENZ]:EB DR <br />PORTLAND. OR 97217 NOBIL, E 799-1 <br />PHONE: 289-6962 <br /> <br /> ITEM <br />WATER LI~ES~ iST 100 FEET <br />SEWER LINEO~ 1ST 100;FEET <br />PLUMBING STATE SURCHARGE <br /> <br />:: , :, TO:tAL:ASSESSE:9 FEES <br /> ::PEEV'IOUSREcEI~TS <br /> ':: ':::ZH!S; RECEIPT ' <br /> <br />QUANTITY AMOUNT <br /> ! $2~.00 <br /> <br /> $2.50 <br /> <br />DONALb E. WOODLEY, NARION COUNTY <br /> <br />FORM # MC 1~-5~ REV, 4/90 OFFICE COPY <br /> <br /> <br />