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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:$0 PM, ' 8:00 A.M. <br /> <br /> I am performJn9 work on a property I own or occupy. <br /> I am a registered builder OR ) the authorized representative <br /> of a registered builden <br /> The work will be performed by a re~istered builder, <br /> Other <br /> <br />DATE: 06/20/88 TIME; 3:55:48p <br /> <br /> 8ANDY, RICHARD <br /> <br />SIGNATURE O¢ APPLICANT: <br /> <br /> DATE; <br /> <br />TAX LO~-: <br /> <br />RESIDENTIAL <br /> <br />OCCUPANCY: <br /> <br /> 9194 SHAN.~RE RD <br />AUNSVILLE OR <br /> <br />USS OF BUILDING: <br /> <br />9?$25 <br /> <br />SE <br /> <br /> CONTRACT CITY; UGB: <br />MARION COUNTY NO <br /> <br />MAIt. INO ADDRESS: <br /> <br />SUBDIVISION: <br /> <br />SANE <br /> <br />PHONE: 363-8690 <br /> <br /> 13 8S <br /> 8. g0'o 00 AC <br /> <br /> SITE NUMBER: ?663 <br /> VALUATION: <br /> <br />RANGE: ZONg; <br /> 2N AR <br /> NO NO <br /> <br />MAP; <br /> <br />TYPE~ PLUMBING <br /> <br />PEI~IIT OR APPLICATION NO; 9016881 <br /> <br />CONTRACTOR, NO. <br />BANDY, RICHARD <br />SANE <br /> <br />PHONE: 363-6690 <br /> <br /> ITEN <br />NOSIL~ 'H~4E ~ER AND WATER ~)NNECTION <br />FLEET SURCHARGE -ZONE <br />PLUMBING STATE SURCHARGE <br /> <br />QUANTITY AF~JNT <br /> 1 $25. O0 <br /> <br /> $30.08 <br /> $0.00 <br />'rS'tlS RECEIPT $30.09 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: SANDY, RICHARD ~CEIPT NO: 17953 <br />RECEIVED BY; cl .... ~ TYPE: .CK CHECK ~: 2481 <br /> <br />* THiS IS ~T A P~IT_ ~,:~,~pL[~~,.,~~ ,:A,~:I~ P~ ~ ~E <br />ALL N~ IN~T~ ,~ i:~,'~J~;~,,,.; '.: ......... ¢,' ':, ~' <br /> <br />P~ R~I~= BY ........ . ...... "''' ' .' CI~ JURISDI~I'~: 8Y DATE <br />R~RKS: ~ ~,(NL,SL WI~I~ ~7i57' :' ' <br /> <br /> <br />