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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NF <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 58845147 8:00 - 4:SO <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />lam pe o ming work one property l own or occupy. <br />lamareglsteredDuilderOR( )theauthorizedrepresentatlve <br />Ct a registered builder, <br />The work will de performed by a registered builder. <br />Other <br /> <br />I h,sve resd arld agr'ee to the terms stated on the reverse side <br /> <br />BRUCE PACK,(N(~ COSPANY (BRUC? PACK,) <br /> <br /> ,],2264 SilL, VEiR FALLS HWY ..... <br /> AUi%"3V I I.. L E OR 97525 <br /> <br />US~ Of BUILDING: <br /> <br />,MAILING ADDRESB~ <br /> <br />SAME <br />PI.lONE: 769~,2159 <br /> <br />TAX LOT; <br /> <br />CONSTRUCT DN TYFE <br /> <br />NAR'ION UL UNTY Hn <br /> <br />dEA'l' PROCESSING ~HLANT <br /> <br /> SITE NUMBER: 92~042~4 <br /> VALUA' ION: <br /> <br />'LOT: BLOCK: SECTION; <br />WIDTH; DEPTH: AREA: <br /> <br />TOWNSHIP: DANCE ZONE <br /> <br /> 8S _U~ EFU <br /> ~CORNER <br />UNITS: RREG. LOT: <br /> NO <br /> <br />CATEGORY' <br /> fi()M RC l Al.. <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD' <br /> <br /> NO E: BEDROOM~ <br /> <br />TYPE: PLUHDIN6 <br /> <br />PERMIT OR APPLICATION NO: 44313 <br /> <br />CONTRACTOR NO. <br />BRUCE ISACKINB SO~PANY (BBUCE PA <br />SASE <br /> <br />PI4('INE' ' c , <br /> <br /> I l'EM <br />COMMERCIAL FIXTURE, NEW CONS'f. <br />WATER LINES, 2ST iO0 FEEl' <br />~E:WER LINED,, ~,~1 100 FEET <br />PLU~BINB SASE FEE <br />i:~L. UIflBING STATE SURCNARGE <br /> <br />OUAN 'r' I T Y AMOUN'I <br />1 ;~9 <br />,~ $20 ,, 00 <br />2 ~SO. OG <br /> $20, O0 <br /> $5.4S <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS R~xCEI, To <br />TH~S R~(CEIPT <br /> <br />$1.1.4 _45 <br />$.10 5_ 0 ~) <br /> $9., 45 <br /> <br />BALANCE [)LIE $0.00 <br /> <br />PAYEE: BRUCE PACKING COMPANY (BRUCE PACK] RECEIP'f NO: 46842 <br />RECEIVED BY: C_ , .............................. TYPE: OK CHECK <br /> <br />· THIS IS A VALID PERMIT · THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SALL BECOME NULL AflO VOID. <br /> <br />Ri:;NARKS: ~lf,,, SL F"OR OFF:ICE <br /> <br />[')ONALD I~, I/¢00OI.EY, MARION ,,OUNT¢ BU](I..BING OFEIBIAL / <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, 4/90 <br /> <br /> <br />