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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 />l am a registered builder OR ( ) the authorized representative <br />of 8 registered builder. <br />The work will be geriorme¢ by a registered builder, <br />Other_ <br /> <br />SIGNATURE OF AEPLICANTZ <br /> <br /> 8749 I)ARIJ:/ t:4;) SE <br />AUMcW[LL,E. 01'~ 9'7;~2',~ ~MARION COUN:Y ~ NO <br /> <br />PHONE: 749,-'[;59~.?) ~ VAtJ]ATSON~ <br /> <br /> ~DEPTH. ~ AREA , UNIT~: ~ IRREG. LOT'. ~ CORNER; <br /> <br />TYPE: PLI~MBING PERMIT OR APPLICATION NO: 54531 <br /> <br />W~]LI..., rkof% GARY <br />SAME' <br /> <br />F'HONE~ 749'"'Z395 <br /> <br />RESIDENTIAL FIXTURE~ NEW OONST~' <br />PLUMBING f{ASE I;;'I~E <br />PI..UffiSING STATE SURCI4ARCE <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS <br /> THIS :RECEIPT <br /> <br /> ; BA!,,,ARCE <br /> <br />LtUAN'f I TY A~4~7~IJ N'l' <br /> .4 $;:16., <br /> ~;20. £40 <br /> <br />$58. t;)e <br />$58,, 80 <br /> t~O,, 00 <br /> <br /> PAYEE~ RECEIPT NO: <br /> kt::l,E.l:Vk, D 1,4Y: PK., :i .............. ,:,.,,,.,J~]i~£Z_,,;.:,.: TYPE.,~ CHECK ~h~ e <br /> <br /> * THiS I8 A VALI~ PERMII % :THI.S PERMIT:EXPiRES I8~ ~AY8 F~OH ITS I~8U[ ~ATE. IF <br />CONSTRUCTION CEASES FOR A PER,DB OF :~88 ~AYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br /> E~UI~E~ENTS OF STATE LA~S AND H~EZON COUNTY ~UIL~IN6 ~N~ ZONING OE~IN~NCES~ THZ9 PER~Z'f <br /> ~LL ~ECSHE NBLL AN~ VOID. <br /> <br />~om4 # MC ~-~ R~V.,~/~o OF FICE COPY <br /> <br /> <br />