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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: 5@8-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 568-7904 <br /> <br />Other.~ <br /> <br />OWNER: ROACH~ BARBAF',A <br /> <br /> r <br />F H0 MI':, ,, <br /> <br />......... $~TE NUI~BER: <br /> VALIJATI ON: <br /> <br /> OCCUPANCY: <br /> <br />OCCUPANT LOAD: <br /> <br />LOT: BLOCK: SECTION; ~OWNSHiP'. RANGE: MAP: <br /> <br />ZONE: <br /> <br />CONTF~AC,'fOR,~ I;If],, 58:1.1 <br /> Bay J.d sor, s' I.,. a n d ,_.'¢ c ,.:Ltl e,S el' v.t.f.,"" ~.', Irt <br />,,.,,~'r/o :[2't:l't S'b S <br />~a :1. e~l?, 97302-.0~00 <br />l':l")t)Hti~,. ~':,b,~'-- 0,2~'" ' ' <br /> <br /> ITEM <br />AI)DI'I'IONAL. PLUMBING FEES <br />PI_UHBING BASE FEE <br />PL. UHBING STATE SURCHARGE <br /> <br />TOTAL ASSF';S~EB ,FEES <br />PREV]:00S RECEIF TS <br />%HIS RECEIF'T <br /> <br />[)U AI',IT I TY Ai'tOUN T <br /> 1 $4.50 <br /> $2~,, 00 <br /> $1.23 <br /> <br />~¢25., <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: ])Gv:i. dsons Landscape SEfV.L£e Irlc ]I, VOI(,E NO: .48024 <br /> EI:(,E,I/EI) BY;: PH "IYFE: CK CEIECK ~., 23:[7 <br /> ~ TNTS IS A VALID PERMI'¥ ~ TH~S PEI~MTT EXPIRES 180 QAYS FROM ITS ISSUE ]DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 188 ]DAYS~ OR iF CONSTRUCTION FAILS ~'O MEET ALL <br /> EOUIREMENT$ OF STATE LAWS AND MARION COUNTY BUILDIN~ AN]) ZONING ORDINANCES, THIS PERMIT <br /> ALL BECOME NULL AN]) VOI'D. <br /> <br />REHARKS: BACKFLOW BEVICE <br /> <br />I)ONALB E,. WOOD[..EY, MARION COUNTY BUIL. gIN6 OFFICIAL / BY <br /> <br />~o.~ ~ MC ~-~ ~Bv. 4~o OFFICE COPY <br /> <br /> <br />