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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 />lam performing work on a property l own oroocupy, ~/~'~-'*.f~. ,~Y~ ~,F~~ '' ~ /~,¢~.¢,~ <br />I ~rn 8 registered budder OR ( ) the 8uthorized representative SIGNATURE OF ARPLICA <br /> of a registered builder, // ~ ' <br />Tho work will be performed by a registered builder. <br />Other ........... <br />aye read and agree o he e ms s a ed on he eve se s de o ~ATE <br />this document <br /> <br /> DATE: 12/28/92 t'IME: 15:3t:09 <br /> <br /> 8URL. EIGH= ,]AMES & LECTA <br />ADDRESS; <br /> <br /> 11982 STEINKAMP RD SE CONTRACT CITY: JGB: OCCUPANT LOAE <br /> AUMSVILL.,E OR 97;525 MARIOi', COUNTY ~0 <br /> <br />USE OF BUJLDING: NO OP 8EOROOMS <br />MAILING ADDRESS: SUBDIVISION: <br /> <br /> PO BOX 181D2 <br /> SALEH 97305 SITE NUMBER: 92-04344 <br /> PHONE: 393'"8790 rALUATION: <br /> <br />LOT: 8LOCK. SECTLON TOWNSN P: RANGE ZONg MAP <br /> <br />1-666 AC m. NU <br /> <br />TYPE: PLUMBING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, <br />8URLEI6H, JAMES & LECTA <br />PO BOX 18102 <br />SALEM 97305 <br />PHONE: 395..,8790 <br /> <br /> IfEH <br />~ATE~ L~NES JST LO0 FEEl' <br />PLUNi~NB s-r'~TE SURCHARBE <br /> <br />9044621 <br /> <br />QUANTITY AHOUNT' <br /> $ 2 ()- 0 <br /> <br /> TOTAL ASSESSED FE~S $2! 0 <br /> PREVIOUS RECEIPTS $0_00 <br /> TiflI¢ RECEIPT $2I 'o <br /> <br />PAYEE: 8UkL~],(:d~, ,}AMES & LECTA RECEIPT NO: <br />RECEIVE[) BY: I)M2 TYPE:: CK CMECK ~:: <br /> <br />THIS IS NOT A PERNIT. THIS APPLICATION HUST 60 THROUGH ~ REVIEW PROCESS WHERE THE <br />FOLLOWIN~ NUST BE CO~PLETEO. IT IS THE RESPONSIBILITY OF THE APPLICAN¥ TO ASSURE THaT <br /> LL NECESSARY INFORMATION HAS SEEN PROVIOEO. <br /> <br />PLAN REVIEW: BY ..................... DATE ........................... <br /> <br />REMARKS: I~AI'E'R LINE .-- ~,~EL, L, TO NH <br /> <br />CITYJURISDICTION: BY ................... DA¥~ <br /> <br />OFFICE COPY <br /> <br /> <br />