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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 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> am performing work On a property I own or oGoupy. <br />l am a registered builder OR ( )fheauthorizedrepresentatve <br />of ~ registered builder, <br />The work will be performed by a registered builder. <br />Other <br /> <br />t have read and agree tO the ferr~$ stated on the reverse side of <br />this document, <br /> <br /> DATE: 05/08/92 "iME: ]2 4,1 =3? <br />OWNER'. <br /> Cedar's R~t:uran'c & Lounge Inc. <br /> OCCUPANCY: <br /> <br />COMMERC i A~. <br /> <br /> 200 N DE'rROiT AVE -- tJ~B} .OCCUPANT LOAD; <br />DETROIT OR 9?342 i OE'I'BOi] I NO <br /> <br />MA{LING ADDRESS: SUBDIVISION: <br /> <br /> DAVID LAYr, ION <br /> P.O. 553 DETROf'I', ORE 97342 <br />, PHONE: 854-3754 SiTE NUIVlBER: 92-01780 <br />! VALUAT ION: <br />'LOf~ BLOCK: : SECTION: TowN'HIP: : RANGE; ZONE; :MAP: <br /> <br /> WlD'f H; DEPTH: i AREA: UNITS: <br /> ~ NO: NO <br /> <br />TYPE: PLUMBING <br /> <br />PER,lIT OR APPLICA'I'iON NO: 39878 <br /> <br />CONTRACTOR, NO. <br />cedars R6~ur~nt & Lounge inc. <br />DAVID LAYMON <br />P.O, 563 DETROIT, ORE 9?342 <br />PHONE: 854,-3784 <br /> <br /> ITEr,1 <br />SEWER LINES, 1ST 100 FEET <br />PLUI'4BiNG BASE FEE <br />PLUMBING 8'fA'rE ~JRCHARGE <br /> <br />TOTAL ~ED FEES <br />PREVIOUS RECEIPTS <br />'T'BiS RECEIPT <br /> <br />QUANTITY Afv~OUN'T' <br /> 1 $30.00 <br /> $20.00 <br /> $2,5o <br /> <br />$52.50 <br /> <br />$52.5o <br /> <br /> BALANCE DUE $0-00 <br /> <br /> PAYEE: ~ar~ R~,~urant ~ Lounge inc. iNVOiCE NO: 4,1921 <br /> RECEIVED BY: DM2 ................................................................................................ TYPE: ~N O~ECK ~: 0 <br /> <br />* THI~ I~ A VALID PERMIT * THiS pER~iT EXPiRE~ lB0 DAYS FROM ITS iSSUE DATE. iF <br />~GTRUCTiDN C~~'c~ P'~DR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAI~ TO MEET ALL <br />RE'QUIRE~IENTS OF STATE ~ AND r, IARIONCOUNTY BUILDING AND ZONING ORDINANCE,.~, THIS PERMIT <br />SHALL BECOIflE NULL AND VOID. <br /> <br />REf4ARK~: SEWER LiNE <br /> <br />~)NALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />