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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 am a registered builder OR ) the 8vthorized representative <br />of a registered builder, <br />The work will be performed by a registered builder, <br />Other <br /> <br />SIGNATURE OF AC'I~L CANT <br /> <br /> FIME. '; 2.0~,.. ~,9 TAx LOT: CATEGORY: <br />WAI. L.S'FROM~ GARY J ~ESIDENTIAL <br /> <br /> ~ OCCUPANT LOAD: <br /> 8749 BARLEY RD <br /> AUMSVI:LI.E OR ~732~ ;MARION COUNTY i N0 : <br /> t~ su~Giv,~16N; <br /> <br /> PHONE: 749-1~95 VALUATION: <br /> <br /> 7~4 ~ 28~5 _ 217748. SF NO ~0 <br /> <br />TYPE: PLUHBING PEENIT OR APPLICATIOHND: <br /> <br />CON'TRACTOR~ NO. 64466 <br /> Berry PItmbinq <br />837 lndial~ Ct <br />SaleM, 97381-0008 <br />PHOHE: 588-0624 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE, NEY CONST~ <br />PLUMBING BASE FEE <br />PLUMBINg STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 5 $45.08 <br /> $20.00 <br /> $3.25 <br /> <br /> TOTAL ASSESSED FEES $b9.,25 <br /> PREVIOUS RECEIPTS $0.00 <br /> THIS RECEIPT $68.25 <br /> <br /> BALANCE DUE $0.00 <br /> P~YEE: Berr~ ~luMbi~g lnc RECEIPT NO: 62340 <br /> RECEIVED BY. js ....................................... TYPE: CE CHECK ~: 2570 <br /> ~ THIS iS A VALI~ PERHIT ~ THIS PER~IT EXPIRES 18B BAYS FEONITS ISSHE ~ATE. iF <br />CONSTRUCTION CEASES FOE A PERIO~;OF'188 BAYS,'~OE'IF ~ONSTEUCTiON FAILS TO ~EET ALL <br /> EQUIREHERTS OF STATE LAWS' AND HARION COUNTY BUILDING AND ZONING ORDINANCES8 THIS PERHIT <br /> ALL 9ECOME HULL ~N~ VOI~. <br /> <br />REMARKS: 5 NEW F'X <br /> <br />DONAt..9 F. WOODLEY~ MARION C00NTY BUlL. DING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, 4/90 <br /> <br /> <br />