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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HiGH STREET N~- <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or Occupy. <br />IAmaregiateredbuilderOR( } the authorized representative <br />of a reg'~tered bu;Ider, <br />The work will be performed by e registered builder, <br />Other ,, , <br />I have read and agree to the terms stated on the reverse mide ¢ <br />this document, <br /> <br /> DATE: 12/09/92 TIME: L2:02:~8 <br />(OWNER; <br /> 8RUDE PACKINQ COMPANY (BRUCE PACK) <br /> <br /> 12264 SILVER FALLS HWY <br />AUMSVILLE OR 97525 <br /> <br /> TXX LOT~ <br /> <br />· MARION COUNTY' NO <br /> <br />USE 0¢ bUILDING: <br />MAILING <br /> <br />SAME <br /> <br />PHONE: 769--~159 <br /> <br /> I BLOCK: <br /> <br />~ECTION: <br /> <br /> 22 <br />, AREA: <br /> <br />COMMERCIAL <br /> <br /> HE~Z PRODE$,~.tN6 PLAN1 <br /> <br /> SITE NUMBER: 92-04214 <br /> VALUATION: <br /> <br />TOWNSHIP: : RANGE: = ZONE: <br /> NO NO <br /> <br />47 <br /> <br />TYPE: PLUMBING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. <br />8RUDE PACKING COMPANY (BRUCE PA <br />SAME <br /> <br />PHONE: 769-2159 <br /> ITEM <br />WATER LINES, 1S'l' 100 FEET <br />$E~ER LINES. 1ST 100 FEET <br />PLUMBING BASE FEE <br />PLUMBING STATE StJRCHARQE <br /> <br />9044515 <br /> <br />QUANTITY AMOUNT <br />1 $20.00 <br />2 $60.0D <br /> $20.00 <br /> $5_00 <br /> <br />TOTAL ASSESSED FEES $105.0D <br />PREVIOUS RECEIPTS $0_00 <br />THIS RECEIPT::,: $0.0o <br />'8ALAN:C~:'O~E $105. OO <br /> <br />PAYEE: RECEIPT NO: <br /> <br />RECEIVED BY: CL ........................................................ TYPE: CHECK ~: 0 <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION MUST 60 THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY .............. DATE .................... CITY ,][JRISDICTiON: BY ............... DATE ....................... <br /> <br />RE/~ARKS: HL, SL FOR OFFIC~ & LUNCH RM MEG UNITS (BAL DUE) <br /> <br />OFFICE COPY <br /> <br /> <br />