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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97~o1 <br /> <br /> PHONE: .588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered bwi[der. <br />The work will be gerformed by e registered builder. <br />Other ,, <br />I have read and agree to the terms st&ted on ttle reverse side of <br /> <br />2[L~2 N~'T3:OIqAL CT SE <br />S~LEI4, OR ~'?:~06 <br />PHONE: <br /> <br />SITE NUN~ER: <br />VALUATION: <br /> <br />TYPE: PLUBiBIN~r <br /> <br />COHTRACTOR. NO,, <br />JOHNSON,, <br />21~2 N~TIOI,i~L CT SE <br />SAm. EM, OR <br />PHONE: 364-5458 <br /> <br /> ITEM <br />WATER LZNES~ 1ST l~e FEET <br />PLUMBING STATE SURBHAR(;E <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TFIIB RECEIPT <br /> <br />Q'UANTITY AMOUNT <br /> 1 $20,, <br /> $1 ,, <br /> <br />$21. (40 <br /> <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PA~EE: ~ .- RECEIPT <br /> RECEIVED ~Y: N~_..V'~¥-~. · 'TYPE: CHECI~ ~1': 0 <br /> <br /> · THIS IS A VALID PERMITS: .THIS.;.EER~IT EXPIRES 1BelAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEABE~ FOR A.PERIOgOF':IB~.:BAYS~:.ORIF:CONSTRUCTION FAILS TO MEET ALL <br /> E~UIREHENT$ OF STATE LA,Si AND HARiON'cOUNTY BU[LD~N~:A~]~: ZONING ORDINANCES, THIS PERMIT <br /> ALL BECOHE NULL AND VOID.. <br /> <br />REMARKS: WL <br />DONALD E.. WOC)iDLEY~ NAR3!0N COUNTY BUILDINg. OFFICIAL / BY '_ ................................................................................ <br /> <br />~o~ # uc ~$.~ ~v.,~m~ OF FICE COPY <br /> <br /> <br />