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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, ORE~ON 97301 <br /> <br /> PHONE: 588-5147 8:00 :-4:80 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or OccuDy, <br />I am a registered builder OR the autMorlzed representative <br />of a registered builder, <br />The work witl be pedCormed by a registered builder. <br />Other ..... : ' . <br /> <br />AUMSVI L..LE <br /> <br />SAME <br /> <br />PNONE'.: <br /> <br />WIDTH; <br /> <br />8:[88 SILVER FALLS ;WY <br /> <br /> DENI'IAL <br /> <br />CONTRACT CITY; OCCUPANT LOAD'. <br />MARION COLINTY <br /> <br /> SITE NUHSER: 93-82351 <br /> 581-1387 VALUATION: <br /> <br />BLOCK: RANGE; ZONE; <br /> <br />PE~H: CORNER~ <br /> AC fig YES <br /> <br />TYPE: PLUMBIN~ OR APPLICATION HO: 9849143 <br />CONTRACTOR. NO. 2~8 <br />.T G Nichoi PluMb~n~ Inc <br />FO Box 166 <br />AuMsville. 97~25-~080 <br />PHONE: 749-2071 <br /> <br /> ITEH <br />RESIDENTIAL F'IXTURE~ ~ALTERA'TI~N§i'h <br />PLUMBING BASE FEE <br />PLUMBIN~ STATE SURCHARGE <br /> <br /> PAYEL. T G Nichol <br /> RECEIVED BY: BM ~: <br /> <br /> ~ THIS IS NOT A PERHI <br />FOLLOHING, HUST BE <br /> LL NECESSARY INFORHAT! <br /> <br /> PLAN REVIEW: BY ;'~ <br /> REMARKS: 3 FIX ,', <br /> <br /> QUANTITY AMOUNT <br /> $..0,, 00 <br /> <br />THE APPLICANT TO ASSURE THAT <br /> <br />OFFICE COPY <br /> <br /> <br />