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DATE: 05/08/89 TIME: <br /> <br /> PETERS, THEODORE <br />SITDS ADDRESS <br /> <br />MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> ~ PHONE 598-5147 <br /> CODE-A-PHONE <br /> 430 PM.-800AM ( <br /> <br /> RESIDENTIAL <br /> <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br /> 9117 SILVER FALLS HHY <br />AU~¢VILLE OR <br /> <br /> SE CONTRAOT CITY UGB OCCUPANT I CAD <br />97325 <br /> DEARICXN 03UNTY NO r~O Or BEDROOMS <br /> <br /> SANE <br /> <br /> PHONE: 362-1556 <br /> <br />LOT BLOCK <br /> <br />SECTION <br /> <br />SITE NUNBER= 7188 <br />VALUATION: <br /> <br />WIDTH CEPTH <br /> <br />NO NO <br /> <br />TYPE: PLU~IBING <br /> <br />PERMIT OR APPLICATION NO: 9015748 <br /> <br />CONTRACTOR, NO. 14876 <br />WESTERN LIVING <br />¢835 PORTLAND F~)AO NE <br />SALEH, OREGON 97305 <br />PHONE: 393~7358 <br /> <br /> ITF~ <br />WATER LINES, 1ST 100 FEET <br />WATER L~NES, EA. ADDL. 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />SEWER LINES, EA. ADDL. 100 FEET <br />MOBILE HOME SEWER AND WATER GhDNNECTION <br />PLUMBING BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $2o.oo <br />1 $15.00 <br />1 $30.00 <br />1 $15.00 <br />1 $25~oo <br /> $20.00 <br /> $3.84 <br /> $8.25 <br /> <br />TOTAL ASSESSED :FEES <br />PREVIOUS RECEIPTS <br />THIS RECET PT <br /> <br />$135.09 <br /> $8.00 <br />$135.08 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: GRISWOLD, IVt&RY P RECEIPT NO+. 16735 <br />RECEIVED BY: CL TYPE: OK CHECK ~: 128 <br /> <br />* THIS IS NOT A PF_.~IT. THIS APPLICATION MUST GO THROUE~-I REVIEW PROCESS I~HERE THE <br />FOLL~ING ~T SE COMPLETED+ .:IT: TS I~IE I:fSSPONSIBTLITY OF THE APPLICANT TO ~RE THAT <br />ALL NECE~,EC~Y INFORtVlATION HAS BEE~ PROMIDED. <br /> <br />PLAN REVIEW: 8Y .......... DATE <br /> <br />RARES: ~ CON WL, SL R~7025 <br /> <br />CITY JURISOICTIONt BY ........ DATE ......... <br /> <br />ffORM ¢~ MC 15-58 R~v 11'88 O~-~ICE COP~/ <br /> <br /> <br />