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MARION COUNTY BUILDING INSPECTION <br />SENAT,,OR B.L'DG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />of a registered builder. <br />Other <br />this document. <br /> <br />°w~Aq~E = 10/25/89 <br /> <br />SITUS AODREI~RRY, VERNO~ <br /> <br /> 12103 FRY ROAD <br />AURORA <br /> <br />MArLiNG ADDRESS: <br /> <br />OR97002 <br /> <br />NE <br /> <br /> 'fAX LOT: <br /> <br /> CONSTRUCTION TYPE:40962~000 <br /> <br />CONTRACT CITYi UGB: <br />MARzON couNTy NO <br />SUBDJVISlGN: <br /> <br />CATEGORY: <br /> <br />OCCUP^NC¥: RESIDENTIAL <br /> <br /> PHONE: 678-2841 <br />LOT: BLOCK: <br /> <br /> ,SITE NUI"18 ER t 8603 <br />SECTION: TOWNSHIP: RA~U. IAT ION .' ZONE: <br /> <br />MAP: <br /> <br />WlD'l H: DEPTH: <br /> <br />AREA: 21 UN,TS: 4S IF~e. Lef; 1N C0~NE~: EFU <br /> <br />TYPE: PLUMBING <br /> <br />CONTRACTOR, NO. <br />PERRY, VERNON <br /> <br />PEE~IT OR APPLICATION NO~ 19590 <br /> <br />PHONE= 678-2841 <br /> <br /> ITEM <br />HATER LINES, 1ST 100 FEET <br />SE~ER LINES, 1ST 100 FEET <br />NOSILE HONE SEWER .6¢4DNATEROONNECTION <br />PLUMBING BASE FEE <br />FLEET SURCHARGE -ZONE 6 <br />PLUMBING STATE SURCHARGE <br /> <br />PAYEE= <br />RECEIVED BY: PR <br /> <br />TOTAL ASSEiSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AIVDUNT <br />1 $20~OO <br />1 $30.00 <br />1 $25.00 <br /> $20.00 <br /> ~7.98 <br /> 4.75 <br /> <br />~107.43 <br />107.43 <br /> $o.oo <br /> <br />BALANCE 0UE $0.00 <br /> <br /> RECEIPT NO: <br /> TYPE: CHECK <br />* THIS IS A VALID PER~IT ~ THIS PEF~iiT EXPIRI~ 180 DAYS FI:)C~ ITS iSSUE DATE. IF <br />CC~STRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF C01'~'TRUCTiON FAILS TO ~] ALL <br />I~IRE~ENT8 OF STATE I~ AND Iq~RION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERIqlT <br />t~Ji"iALL $1~ NULL AND VOZD. <br /> <br />REMARKS: CONN/EXTENDING HL A SL 1~7199 <br /> <br />DONALD E. HOODLEY. MARION COUNTY BUILDING OFFICIAL / <br /> <br />OFFICE COPY <br /> <br /> <br />