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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 8:00 - 4:$0 <br />24 HOUR CODE-A-PHONE: 588-7904' <br /> <br />I am e registered builder OR ( ) the authorized repfesen~atlve <br /> <br />The work will be performed by a registered builder. <br />Other_ <br /> <br />i I'flA]'THEW ROBER]' & CAROLYN PiZZU'T'i 70380%1!0 RESiDEN'iiAL <br /> <br /> OCCUPANT LOAD: <br /> 10792 AF;~NOT RD N~; GONTRACTGITY; i USS; <br /> <br />AURORA OR 9?002 <br />u~E 0¢ ~U~Ec, lu~i ............................ MARION ~ COLJN:'~:Y i N© :NO o~ <br /> <br /> ~AME <br /> <br /> PHONE: 6'/8-5638 SiTE NUMBER: 92-01215 <br /> VALUA'f' ,[ON = <br /> LOT: : B~OCK: I SECTION: TOWNSHIP: RANGE: : ZONE: MAE: <br /> <br /> ~ ~2...; 3S..: 1~.-' <br />wig)TH; :DEPTH; ~ AREA: ' UNITS'. , IRREG. LOTz I CORNER; <br /> <br /> 1 AC NO YES <br /> <br />TYPE: PLUMBING <br /> <br />PER, II' OR APPLiCATiON NO: 3892? <br /> <br />CONTRAC'rOR, NO. <br />MATTHEW ROSER1 & CAROLYN PiZZUT <br />SAME <br /> <br />PHONE: tS78~5638 <br /> <br />RES,[DEN'f',[AL F,f,X'f'URfg, AL'['ERAT.[ONS <br />PLUMBfNG STATE SURCHARG~ <br /> <br />QUANT,[TY AMOUN1' <br /> 11 $99.00 <br /> $20.00 <br /> $5.95 <br /> <br />TOTAL A~E~ED F'E~ <br />PRE-V tOUS RECE i ETS <br />'f'H,[ S RECE f P'f' <br /> <br />$124.95 <br />$124.95 <br /> $0.00 <br /> <br /> PA~E: , i.,,'-~ · RECE~P'f' NO: <br /> <br /> THiS iS A VALID PE~II? THis PERMIT ED(PIRES 180 DAY~ FRO~ iTS i~E ~TE. <br />~ST~CTI~ C~ POR A PERIOD OF 180 DA~, OR IF ~ST~CTi~ FA[~ TO ~EET ALL <br />R~iR~TS OF STATE ~ ~D ~R[~ ~NTY BUiLDiNG ~D Z~iNG ORDIN~C~, THiS PE~iT <br />~ALL B~E NULL ~D <br /> <br />RG~ARKS: 11 F'IX AL'f'ERAT[ONS <br /> <br />DONALD E- NOODLEY, IViARiON CQUN'T'Y BUiLDiNG OFF,[CiAL / BY <br /> <br /> <br />