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MARION COUNTY BUILDING iNSPECTION <br />SENATOR BLDG. NO. 925 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE 588~5147 8:00 - 4:30 <br />HOUR CODE-A-PHONE: 588,7904 <br /> <br />of a registered builder, <br />The work will be I~erformed by a registered builOer. <br />Other_ <br /> <br />this do~umerlt, <br /> <br />:OWNER:' DATE= e?/g;~/93 TTHE: 9: 49:2.f~ ..... tAX ko~L <br />' HAHN, GLORIA ] . RESIDENTIAL <br />~ SITUS ADDRESS: TgPE~ I 0CCUPANCY: <br /> <br /> 19865 ttUBBARD CUT-OFF NE ~ CONTRACT CITY: ~ VG8[ iOOOUPANT LOAD: <br />~ AURORA OR 97~82 J MARION COUNTY~ NO <br /> <br /> ~' SITE HU~: <br />~ PNONE: 678-5745 , VALUATION: <br />~0~, ~[5~ ............... ~;~97 ............... ~ ~'6~Ai~; .............. ~E} ~'~6~ ,~P~ <br /> <br /> ............... ~ ..........-"- r~ ................ ~-~;~S ............... r~-~:~r. <br /> <br />TYPE: PLONBIHI; <br /> <br />CONTRACTOR, NO. <br />HAHN, GLORIA <br /> <br />PERNIT OR APPLICATION ND: 49833 <br /> <br />PHONE: 6?8-§745 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE, NEW CONST. <br />PLUMBING BASE FEE <br />PLUMBING STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> 15 $135~00 <br /> $28.00 <br /> $7.75 <br /> <br />$162.7~ <br />$162.75 <br /> $0.00 <br /> <br />$8.00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVE~ BY: PM TYPE: CHECK ~: 0 <br /> <br />CONSTRUCTION CEASES FQR~,[ERIO~,'~[',~B~'~Y~"OR'IF CONSTRUCTION FAILS TO NEET ALL ALL BECOHE HULL AND VOID.: <br /> <br />REMARKS: 15 FIX <br /> <br />DONALD E. WOODLE¥, MARION OOUNTY BUILDING OFFICIAL <br /> <br />f BY <br /> <br /> OFFICE COPY <br />FORM # MC 1 ~-56 R~V. 4J90 <br /> <br /> <br />