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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 /> DA'FEI; 08/0J. 1'74 '[".[f').'"'-'~ 16~ :i. 5:'. 32 <br />ibwN~,~i ....................................................... ,-,,, ~, ,:,,r~ %~ DAVE TAX LOT; <br /> <br /> SITtJ~ ADDRESS; i CONSTRUCTION TYPE: <br /> <br /> OI_NEY <br /> - m=' ~m~F ~Y: ! ~: ~OCCUPANT LOAD: <br /> <br /> PARTITION PLAT <br /> <br /> SITE NUM$ER: B4-~2~4 <br /> PHONE: VALUATIONs <br /> <br />LOT: ~ BLOCK: SECTION: ~ TOWNSHIP: ~ RANGE: ~ ZONE: <br /> <br /> TYPE: PLUMBING PERMIT OR APPLICATION NO: 57~14 <br /> COlqTRACTOR~ NO. 73140 <br /> ])av:i, dsom~ Landscape ~eTvice .['~ <br /> 23~'5 12th S'[: $ <br /> <br /> PHONE;~ <br /> <br /> :('rEM [~LJANTITY AMOUNT <br /> A~9ITIONAL PLUHBING FEES i $4,,58 <br /> FLU~B,[Ill, BASE EEE $2~.(~ <br /> FI,tJM~ lNG STATE SURCHAIrCGE $1,, 23 <br /> <br /> , , ~QTAL ASSE.~SE~ FEEo'e $25.7;~ <br /> ) PREVIOUS RECEIPTS-.,,,~ ._~_.__,~= <br /> /H~5 RECEIP~ , $2~7.73 <br /> <br /> PoY~ ~)~t~n~ ~d~c~:b.::S~¢~:a~ ~h~:' ::'::y:' : ]'MV0]'CE' N0: ~'~'"~= <br /> RECEIVE]2 bY. PH ................. =,...:==. ......... : TY2E: CK CHECK ~,: 4274 <br /> <br /> FE~H ITS ISSUE ~ATE. IF <br /> TH~B <br /> CONSTRUCT/OH CEASES FOR A ~ERIO~,OF IF CONSTRuCTioN FAILS TO MEET ALL <br /> EQUiREMEHTS OF STATE LA~S AND HARIBN:COUHTY :BUIE~iNG A~ :ZONING ORDINANCES, THIS PERMIT <br /> ALL BECOME NULL AH~ VOlga':' ~: <br /> <br />RiEHAI:~KS = <br /> <br />DONbI..D E. <br /> <br />OFF]CE COPY <br /> <br /> <br />