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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STR6ET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered bullder, <br /> <br />Other <br /> <br />~ have read and aQree to the term5 stated on the reverse Side of <br />this document, <br /> <br />S~TUS ^DDRE,~!LLJCAN, BiLL <br /> <br />TAX LOT: CATEGORY: <br />CONSTRUCTION TYPE; OC(;U PANCY: RESI DPJN'I 1 AL <br />CONTRACT CITY; UGB'. OCCUPANT LOAD: <br /> <br /> 115 BUTTE ST ~ <br />DETRO&'J' , 0R. 97342 <br /> <br />SU BD~VIS~ON: <br /> <br /> P.O. BOX 484 <br /> DETROIT, OR 97342. <br /> PHONE.' 854-3626 <br />LO'F: BLOCK: <br /> <br />SECTION: <br /> <br />~D <br /> <br />TOWNSHIP; <br /> <br />SiTE Nl~w1BER: 11178 <br />~A~[JJAT ICON .- ZONE: <br /> <br />10 ~R~EG LO~: 5E CORNER: <br /> <br />'rYPE= PLUMBING <br /> <br />MAP: <br /> <br /> '105 <br /> <br />PERMIT OR APPLICATIQN NO: <br /> <br />CgNTRAC'fOR, NO, <br />MILLICAN, 81LL <br />P.O. 80X ~84 <br />DETROIT, OR 97342 <br />PHONE: 854~3628 <br /> <br />/~IO81LE H(~IE SEWER AND WATER CONNECTION <br />FLEET SURCHA~3E ':;'ONE ? <br />PLUMBING 8'rATE SURCHARGE <br /> <br />PAYEE: <br />RBOEIVEO BY: c"l <br /> <br />2'I129 <br /> <br />TOTAL AE~E,%~EO <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />QUANTITY AIvlOUN'I' <br /> 1 $25.00 <br /> <br /> 1+25 <br /> <br />35.21 <br />$0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> INVOICE NO; <br />TYPE: G~EC~ ~: O <br /> <br /> THIS IS A VALID PER~IT * THIS PERt4A:T EXPIRES 18(] OAY~ <br />~T~C'I'I~ ~ ~ A PERi~ ~ 1;80 ~, OR IF ~T~TI~ FAI~ TO ~ET A~ <br />R~I~'I'S ~ ATE ~ ~O ~RI~ ~TY ~i~ING ~DZ~I~ ~DI~C~, THIS <br /> <br />REMARk: ~ (DCX~ <br /> <br />DONALD E. b~OOLEY, ~AARION COUNTY BUILDING OFFiCiAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />