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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: 588-7904 <br /> <br />I ~m a registered builder OR ( ) the authorized re ,resentetive <br />of a registered builder, <br /> <br />Other <br /> <br /> GRAY, WI k 70551-001 RESII)ENTIAL, <br /> <br /> AURORA OR ~ARION COUNTY flO <br />~UILOING; , <br /> <br /> 8778 CASCADE HWY NE <br /> PHQNE: 87~-7157 ~ VALUATION: <br /> <br />TYPE: PLUHBiNG <br /> <br />PERNIT OR APPLICATION NO-" 55e61 <br /> <br />COI'ITRACTOR~ NO. <br />GRAY~ WILL <br />877l) CASCADE HWY NE <br />S:[I.,VERTON OR 77~81 <br />PHONE: 873-7157 <br /> <br /> I'rEM ' <br />WA1ER I..INE$, 1ST 180 FEEF <br />PLUMBING STATE SURCHARGE <br /> <br />PAYEE: <br />RECEIVED BY: PB <br /> <br /> ~ THIS IS A VALID <br />COHSTRUCTION CEASES <br />EQUIRENENTS OF <br /> ALL BECONE NULL AHD <br /> <br />QUANTI'rY AMOUNT <br /> 1 $~0,. 00 <br /> $1.00 <br /> <br /> RECEIPT NO: <br />TYPE: CHECK ~: 0 <br /> <br />ITS ISSUE DATE. IF <br />FAILS TO NEET ALL <br /> <br />$21.00 <br /> $0.00 <br /> <br />$0.00 <br /> <br />REMARKS:: WATER LINE <br /> <br />DONALD E. WOODLEY~ MARi::ON:r:~EOU <br /> <br />~o.~, ,~ MC ~=-~ n~. ~o 0 F Fl C E CO PY <br /> <br /> <br />