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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 /> OATE; 10/26/92 ~IHE: i~:24:12 <br />;OWNER; ] RESIDENTIAL <br /> 70551-501 <br /> FEELER, WILLIRH & RABER, KAREN :occuPANCY~ <br /> <br /> 11749 WARBLER LRNE NE CONTRACT CITY; U~; :OCCUPANT LOAD; <br /> ~UROR~ OR 97002 H~RION COUNTY ~0 <br /> <br /> ' S~E NUMBER: 92-03786 <br /> PHONE: <br /> <br /> ITEM ~ QUANT I TY AMOUNT <br /> WATER LINE~, iST 100 FEET ~ 1 $20 O0 <br /> SEWER LINE~, i~T 100 FEET~ <br /> PLUHSING STATE 8UR~HARSE~ <br /> ~ TOTAL ASSSSSEQ F~S $52.50 <br /> <br /> $52.50 <br /> PAYEE: ~ RECEIP~ NO- <br /> <br /> FOLLOWING MUST BE COHPLETED. IT ~S THE RESPONSIBILITY OF THE APPLICAN~ TO ASSURE THAT <br /> LL NECESS~Y [HFOEH~T[ON HAS BEEN PROVIDED. <br /> / <br /> <br />PLAN R,,,/7IEW: BY ............. OATE <br />RTS: WATER LINE, SL < 100 FT <br /> <br />CITY JURISDICTION: <br /> <br />8Y .......... DATE .......... <br /> <br />FORM # MC 15-56 R~V, 4/'90 OFFICE COPY <br /> <br /> <br />