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MARION COUNTY <br /> BUILDING INSPECTION <br />Scnalol Building - 220 I-ligh Street NE ,~ Second Floor * Salem, Oregon 97301-367(/ <br /> <br /> Office Hours: 8:00- 4:30 Phone: 588-5147 Code-A-Phone: 4r30 p,m,- 8:00 u.m. <br /> <br />DATE: 08/'10/88 <br /> LAID, TO~ <br /> <br />TIME: 3:39:389 <br /> <br />40825-000 <br /> <br />RES I DEN 71 Al... <br /> <br /> 14.955 4TH ST <br />AURORA <br /> <br />OR 97009 <br /> <br />NE <br /> <br />AURORA <br /> <br />NO <br /> <br />[~ 8OX 427 <br />AURORA 97002 <br />PHONE: 678-57'79 <br /> <br />SITE NUgBER: <br /> VALUATION: <br /> <br />5167 <br /> <br />100 !85 <br /> <br />/.,sS <br /> <br />SF <br /> <br />YES <br /> <br />NO <br /> <br />3 <br /> <br />TYPE: FL,UN'lNG <br /> <br />CONTRAC-FOR, NO. <br />LA J S ,. TOM <br />PC BOX 42? <br />AURORA 97002 <br />PHONE: 8?8-5??9 <br /> <br />PERMIT OR APPLiCATiON NO: <br /> <br /> ;TEM <br />RESIDENTIAL FIXTURE, NEN CONST_ <br />WATER LINES, 1ST qoO FEET <br />PL.UMBING BASE FEE <br />?L~ET SURCHARGE "-ZONE 6 <br />PL.UPSING STATE SURCHARGE <br /> <br />9010384. <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />13 $!17.00 <br />1 $20.00 <br /> $20_00 <br /> $7+68 <br /> $7_85 <br /> <br />$172.53 <br /> $o.0o <br />$172_53 <br /> <br /> . ~ ~'X BALANCE DUE $O_0O <br />P,A~EE: LA. Io, rOW! [N~ INVOICE NO- <br />RE~EI¢ED BY: DN; k,¢r''-- TYPP. TN n~mnN m' 1104~ <br /> <br />PULLO~ING MUST BE ~MPL~EO. IT IS THE R~NSIBILI~ OF THE APPLICANT TD <br />ALL NECE~ INFO~TI~ HAS BE~ P~VIDEB_ '-' ............. <br /> <br />PLAN REVIEW: BY <br /> <br />REMARKS: 13 FIX/NL <br /> <br />DATE CiTY "'~*¢' ' -" ' BY <br /> .............. · -¢N~oD=C,~ON: .......... DATE <br /> <br /> <br />