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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 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Ct a registered builder. <br />The work will be performed by a registered builder, <br /> <br />AUMSVILLE. OR 97325 i ~ZTE HUMBER.= 94-0388? <br />PHONE: 7'4~-31 ~7 : VALUATION: <br /> <br />TYPE: PLUHBiHG <br /> <br />PERHZT OR APPLZC/iTTON HO.' 9958672 <br /> <br />CONTRACTOR, NO. <br />WOODWASTE RECLAMATION <br />PO BOX 1136 <br />AUMSV[LLE, OR 97~25 <br />PHONE: <br /> <br /> ITEM <br />COMMERCIAL FIXTUBE~ NEW CBNST. <br />WATER LIMES, 18T 100 FEET <br />SEWER LINE8~ 18T 100 FEET <br />~EWER LINES. EA, ADDL. 18~:FEEIf <br />FLUMBIN6 BASE FEE <br />?LUMB~NG STATE SURCHArge <br /> <br />PAYEE: WOODWAgTE RECLAMATION <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />2 $18.00 <br />1 $20.00 <br />I $30.00 <br />2 $30.08 <br /> $20.00 <br /> $5.90 <br /> <br /> $0.80 <br />$123.90 <br /> <br />BALANCE DUE: $0.00 <br /> <br />INVOICE <br /> <br /> RECEIVED BY: pm ...................................... TYPE: IN CHECK ~: 0 <br /> <br />8 THIS 1S HOT A PERHIT. THIS APPLICATION HUST r~,THROU§H A REVZE]4 PROCESS WHERE THE <br />FOLLOWING HUST BE COMPLETED. :~T;ZD THE RESPONS[B~L~TYOF THE aPPLICANT TQ ASSURE THAT <br /> LL NECESSARY IMFORHATION H~S DEEM PROVIDE'iD. <br /> <br />rLAN REV[EW~ BY ........... BATE <br />REMARKS: 2 FIXT, WI.~ SL <br /> <br />CITY JURISOICTION: BY. . gate <br /> <br />OFFICE COPY <br /> <br /> <br />