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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO, 225 <br /> 220 HIGH STRE6T NE <br /> SALEM, ORr=GON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />arc performing work on a OfOperty I own or OCCUPY, <br />am e, registered builder OR ( ) the authorized representative SIGNATURE OF APPLICANT: <br />of 8 registered buildot'. <br />The work will be performed by a reeistered buiJder. <br /> <br />DA'fE'.~,. 051251?3 'fIME,~ :1.0:58'.'04 <br /> <br />DAN <br /> <br /> 10831 ARNDT RD <br />USE OF BU~Lm~ORA <br /> <br /> NE <br />97002 <br /> <br />CON~RA~T ~ITY: U~: <br />MARION COUNTY: NO <br /> <br />d ~F~ ~ N T I A L <br /> <br />Sbbm~iSioN; <br /> <br /> SiTE NUMBER: <br />PHI}NE: 678-2668 VALUATION." <br /> BLOCK; SECTION; fOW~SRiP; RANGE: ZONE: <br /> <br />MAP: <br /> <br />TYPE: PLUMBING <br /> <br />COI~TRACTOIr(~ NO,, <br />MARTUSHEZ~ DAN <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />9~47298 <br /> <br />PHONE: ~78-2660 <br /> <br /> ITEM <br />RES~'DENTiAL FIXTURE,¢ 'NEW CONST. <br />PI,.,lJMBIN6 BASE F'EE <br />PL, U~/3ING STATE SURCHAR(;E <br /> <br />[~UANT '.1; TY AMOt,INT <br /> 4 $36.00 <br /> <br /> $2.80 <br /> <br /> TOTAL ASSESSED Fl:rES $58.80 <br /> PREV:[OUS RECEIPTS $0- 00 <br /> THIS RECEIPT $f~8.88 <br /> <br /> BALANCE DUE Se,, ~ <br /> <br /> P~YEE: ~ARTUSHEZ, b~N ~EOE2PT NO: z "='='~' <br /> RECE:[VE~ BY: PM ............................................................... TYPE,, CK CFII;Ct~ ~: 24e9' <br /> <br />~ THIS IS NOT A PERMIT. THIS APPLICATION MUST ~ THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING HUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> EL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />RE. MAI',K .... WH RI;.I._OCATr~ 2 );.Alia, 1 KIT FOR BtJ::47296 <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. <br /> <br /> <br />