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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 /> DATE: 12107194 TIHE: 12:30:07 <br />, OWN~P~ 0 E'L [_E ['{,j' ' .................. RUSSELL" ................ <br /> <br /> 10,9 185 9TH ST ' ' ...... <br /> '¢l~-~q~-''~'~t'~ ~T'Y' ~ i' B' [OCCUPANT LOAD' <br />, AUMSVILLE OR 9732:,'" ~J~i~:~EL~ · ,~ ' . ' <br /> <br /> S~ITH*~ AD~ITIOfl <br /> 5~58 COHMERCIAL ST SE <br /> ,.,AI...Efl, OR 97382 SITE NUMBER: <br /> PHONE: 378-78~2 VALUATION= <br /> <br />TYPE: PLUHBIHG <br /> <br />60N,T,.RAC'f'OR,~ NO. 10122 <br />BC r: LUHBING <br />1615 PIN[:: ST <br />SZt_,,V,E TON. 97 s1 <br />PHOHE, 87L~-4997 <br /> <br /> ITEM <br />?MHERCIAL FIXTURE. hI~':W CONST. <br />~LUMBING STATE SURCHARGE <br /> <br />PER~IT UR APPLICATION <br /> <br />T:o'rAL ASSESSEQ':FEES <br />P.REVI0USgECE~PTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> ~2 $288.00 <br /> $14,,40 <br /> <br />$382.48 <br />$~02.40 <br /> $0.00 <br /> <br /> : , BALANCE DUE $0.00 <br /> <br /> F AYEE. p~ INVOICE NO. <br /> AEC. RIVED BY:~[. · TYPE: CHECK '~: <br /> ~ THIS IS A VALZD PERHIT ~ :TH~S PERNIT EXPi:~E~: ~8~:~S FRoH iTS ISSUE DATE. <br />CONSTRUCTION CEASES FOE A: D~YS~ OR IF CONSTRUCTION FALLS TO HEET ALL <br /> EQBIEEHEflTS OF STATE LA~S '~ND AND ZONINC ORDINANCES, THIS PERHIT <br /> ALL BECONE NULL AND VOID. :: ]: <br /> <br /> REMARKS: ~2 FIX ' <br /> ; LDINO I6I /BY <br /> DONALD E. WOODLEY~ ~AR h Y <br /> <br />.~ F~CE COPY <br /> <br /> <br />