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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 PM - 800 A M <br /> <br />owP~:~TE: 07/2?/99 <br /> RICE. GARY <br />SITUS ADDRESS <br /> <br />RESIDENTIAL <br /> <br /> ?85 OLNEY ST <br />AUMSVI LLE <br /> <br />GR 97325 <br /> <br /> SONTHACT CITY <br /> <br />AUMSVILLE <br /> <br />UGB <br /> <br />NO <br /> <br />PO BOX 290 <br />AUHSVILLE OR 97325 <br />PHONE: 749-2596 <br /> <br />PARCEL ~2 <br /> <br />SITE NUMBER: 7929 <br />VALUATION: <br /> <br />80 110 <br /> <br />^,~, 25 UN, rS 8S <br /> 8800.00 SF <br /> <br />~r~G LOT 2W CONN.. RS 5 l <br /> NO NO <br /> <br />TYPE: PLUMBING <br /> <br />CONTRACTOR, NO. 312 <br />EMERY & SONS CONST. <br />PO BOX 398 <br />STAYTON, ORE 9?383 <br />PHONE: 759-~7751 <br /> <br /> ITEM <br />WATER LIN~S, 1ST 100 FEET <br />SE~ER LINES, 1ST 100 FEET <br />FLEET .SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />PEPJ4IT OR APPLICATION NO: 9017706 <br /> <br />TOTAL ASSESSED FEES <br />PRE~IOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AFE)LJNT <br />1 $20.00 <br />1 $30.00 <br /> $3.84 <br /> $2_50 <br /> <br />$56+34 <br /> $0_00 <br />$56.34 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: STAYTON REFRIGERATION ~.~ INVOICE NO: 18801 <br />RECEIVED BY: PB .~.~J - TYPE: IN CHECK ~ 0 <br /> <br />~ TH~S IS NOT A PERIVlIT. THIS APPLICATION NUST GO THROUGH A REVIEW PROCESS IAHERE THE <br />FOLLOWING NUST BE CO~iPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECF-~ARY INFO¢~4ATION HAS BEEN PROVIDED. <br /> <br />PLaN RE¥IEW: 8Y .......... DATE ............. CITY JURISDICTION: 8Y_5.~ ..... DATE <br />REMARKS: WATER/SEWER LINES <br /> <br /> <br />