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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 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A,M, <br /> <br />I am 12erformm9 work on a property I own or occupy. <br />l am a registered builder OR ( )theauthorlzedrerresentative <br />of 8 rogistered builder, <br />The work will be performed by 8 registered builder, <br />Other <br /> <br /> DA?E: 09/03/8? TlR!E: !1:02.'318 <br /> <br />OWNER; ?ARRELL., BETTY <br /> <br />SITUS ADDRSSS: <br /> <br /> 15043 OTTOMAY NE <br /> ,AURORA OR 9?002 <br /> <br />MAILING ADDRESS: <br /> <br /> SAME <br /> <br /> ~,ONE: 6?8-5388 <br /> <br />LOT: :~L0C~: <br />W~OTH: OE~'rN: <br /> <br /> t]O~; CATEGORY; <br /> CONSTRUCTION TYPE: ! OCCUPANCY: <br /> <br />A~JRORA ~ NO <br /> <br /> ; SITE NUMBER: 2405 <br /> VALUATION: <br /> <br />I SECTION: I TOWNSHIP: i RANGE: I ZONE: : MAPI <br /> <br />TYPE: PLUMBING <br /> <br />PERMIT OR APPLICATION NO: 4147 <br /> <br />CONTRACTOR, NO. 43059 <br />J.C.BREWER PLUMBING CO_ <br />9?04 S.E. KNIGHT ST <br />PORTLAND, OREGON <br />2HONE: ??4--5205 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE, ALTERATIONS <br />PLUMBING BASE FEE <br />FLEET SURCHARGE -ZONE 6 <br />PLUMBING STATE SURCHARGE <br /> <br /> QUANT I TV A~UN T <br /> 4 $30, OC <br /> $ '13. O 0 <br /> $'7. S8 <br /> <br /> ' !:':~OTAL ~ESSED FEES $49.S8 <br /> ~:' :'.~EVZOUS RECEIPTS $0.90 <br />>', ::~HIS RECE~P% $49.58 <br /> <br /> , <br />"8AUA~CE DUE l',,, <br /> <br /> .......~ LUM8 ING ~ ;iNVOICE ,NO: <br />PAYES; J.C.BRENSR , CO,,, , :, ' , ', ,,,~ 4?02 <br />RECEIVE0'" BY: ~B' , , - ~ 'i ,TYPE'::~N' CHECK 'ttt 0 <br /> <br />~T~CTI~ C~ FOR A ;P~IOD ~ FAI~ TO ~E~ AU~ <br />RE~IR~S OF STATE ~ ~O ~RI~ ~N~ <br />~L, B~E NULL ~D VOiDi ' <br /> <br />REMARKS: 4 FIX. ' ' ' <br />OONALD E, NQODLEY, MARION COUNTY <br /> <br />FOR~. MC ~,~-~,~ ~EV e/e? OFFICE COPY <br /> <br /> <br />