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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 9'7301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR OODE-A-PHONE: 588-7904 <br /> <br />I am pe!~ormi, n,g work on ~ property I own or occupy, <br /> <br />The work will be performed by a registered builder,, <br />Other <br /> <br />this document, <br /> <br /> * '':" <br />OWNER'. bA <br /> HASCHE~ HEL & JUDY <br /> <br />I'.[~L-"~. :t~,] 4~¢~[ 56 YAX LOT <br /> ?,5800~520 <br /> CONGTRUDTION TYPE <br /> <br />RES;[DEN'¥'I AL <br />OCCUPANCY: <br /> <br /> 8893 SHAW 8QOARE RI) <br /> AUi4SV ]]._LE~ OR <br />USP 0¢ BUILDING; <br /> <br />MAILING ADDRESS: <br /> <br /> ~c:~E CONTRACT CITYI UGB: <br />97325 HARION COUNTY HO <br /> <br />SUBDIVISION: <br /> <br />LOT~ <br /> <br />PHOHE: <br /> <br /> SLOCK: SECTION <br /> <br />· wrbTh: DEPTH: AREA'. <br /> <br /> SITE MUMBE~: 94-81847 <br /> VALUATION: <br /> <br /> TOWN~H I P'. RANGE ' I'~ONE: MAP: <br />7. AC NO ,~ NO <br /> <br />TYPE= <br /> <br />PERI4IT OR APPLICATION NO: 53529 <br /> <br />CONTRACTOR, NO,, <br />HASCI'IE~ HE[. & II.I])Y <br /> <br />PHONE: <br /> <br />RESIDENTIAL FIXTURE~ ALTERATIO~t$ <br />PLUHBING BASE FEE <br />PLUMBING STATE SURCHARGE <br /> <br />QUANTITY AHSUNT <br /> <br /> ¢20.,00 <br /> $2,,80 <br /> <br />TOTAL, ASSESSE~ FEES <br />PREVIOUS BECEIPTS <br />THIS RECEIPT <br /> <br />~ ,¢8,. o.it <br />$50,80 <br /> $0..00 <br /> <br />BALANCE DUE $0,, 00 ' <br /> <br /> PAYEE: /~^~R RECEIPT ,NO:,, <br /> R~[CEIVE~ BY~ MB.~_~.~_..: ........................... 'TYPE: . CHEC, k :~: 1878 <br /> ........................ <br />CONSTRUCTION CEASES FOR A PERIOD)OF 18~ DAY~, OR IF CONSTRUCTION FAILS TO MEET ALL <br />EOUIREMENTS OF STATE LAWS ~NB MARION COUNTY BUILDING AND ZONING ORBiNANCES~ THIS PERMIT <br />ALL BECOME MULL AND VOID. <br /> <br />REMARKS: 4 F;',[X <br /> <br />DONALD E. WOODI,.,EY, <br /> <br />MARION COL/NTY BLIILI)II,IG OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />