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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- 4:80 <br />24 HOUR CODE-A-PHONE: B88-7904 <br /> <br /> DATE: 09/29/92 TIME: 9:24:24 <br />ow B: LEI , L, RY ! :g6 a'lO00 <br /> <br /> 9784 MILL CREEK RD SE <br /> AUHSVILLE OR 97~25 ~R~UNTY ~: OOCUPANTLOAO: <br /> <br /> ~A~iN~ ADDRESS: .............. ~'~ ~ ~I~I'S['~: <br /> <br /> 9804 MILL CREEK RD SE ~ ............................................................................... <br /> ~UMSVILLE~ OR ~ SITE NUHBER: <br /> PNONE: 749~2405 ~ V~LUflTION: <br /> <br />TYPE: PLUMBING PERMIT OR APPLICATION NO: 42510 <br /> <br />CONTRACTOR, NO. <br />KLEIN, LARRY <br />9804 HILL CREEK RD SE <br />AUNSVILLE, OR <br />PHONE: 749-2405 <br /> <br /> ITEM <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />PLUMBING STATE SURCHARGE <br /> <br /> TOTAL:AsSESSED FEES <br /> :PREVI:OUS RECEIPTS' <br /> : , THIS RECEIPZ <br /> <br />QUANTITY AMOUNT <br />1 $20.00 <br />1 $50.00 <br /> $2.50 <br /> <br />$52.50 <br />$52.50 <br /> $0.00 <br /> <br /> : :.BALANCEE$0.00 <br /> PAYEE: : :::::::: :::::::::::::::::: ' RECEIPT NO: <br /> RECEIVED BY: P8__ ~: TYPE: CHECK ~: 0 <br /> <br /> * THIS IS A YALIO PERHIT:* THIS PERHIT, EXP:IRE$ 180 OA~S FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOE A;:PEEZOD OR:'IF::C.ONSTEUCT~ON FALLS TO HEFT ALL <br />EQUIREHENTS OF STATE COUNTY~,BI~IEOIN~ :~NO ZONING ORDINANCES, THIS PERMIT <br /> <br /> REMARKS: ( ~00 FT EA FOR NL , SL : <br /> <br /> OONALD E~ ~OODLEY, HARION COUNTY BUILDING OFFICIAL / BY ...........................~ <br /> <br /> OFFICE COPY <br />PORM # MC 15,56 REV. 4/90 <br /> <br /> <br />