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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 /> <br />f am performin9 work on a Proper,¥ , own or Occupy. <br /> <br />;OWNE,'. !~AfE. 0~/lu/93 TI:NE: 10=08:45 TAXLOT: 'CATEGORY: <br /> i..EHBE~ GENE REBI~ENTihL <br /> <br /> AU~ORA OR 97882 , MARION COUNTY~ NO <br /> <br /> ~ SITE HUHBER: ~-83182 <br /> PRONE: 78:L-23~9 NSC VALUATION: <br /> <br />TYPE: PLUMBING. <br /> <br />CONTRACTOR~ NO. <br />LENMER~ GENE <br /> <br />PERHIT OR APPLICATION HO: 9849932 <br /> <br />PHONE: ~81-2~0~ MSG <br /> <br /> ITEM <br />WATER LINE~ I5T 100FEE'r <br />SEWER L:[NE$~ ~ST ~00 FEET <br />PLUMBING STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $20,,00 <br />1 $~0.,00 <br /> $2.58 <br /> <br />· TOTALA~SESSED FEE~ $52.50 <br />PREVIOUS RECEIPTS $0.00 <br />THIS RECEIPT: $52.58 <br /> <br /> PAYEE: LEHMER,, GENE :~ -'/ . RECEIPt,NO: , 52~00 <br /> RECEIVE)) BY: DM2 : : ~ · .' ' : T~r. £k, r.~r~ ~.. ~* <br /> ............................... ~, '::~:::::2222 ............................................ <br /> · THIS IS NOT A PERH[~. ::THIS ~PPEIC~ION:,HUST: ~ THROUGH A REVIEW PROCESS WHERE THE <br />FOLLO~IHG MUST BE COHPLETED;: ': :[T: OF~ THE APPLICANT TO ASSURE THAT <br />LL HECESSARY IHFOEHATIOH HAS:BEEN PROVIDED. <br /> <br /> PLAN REVIEW: BY .......... CITY JuRIsDICTION: BY ............. QATE .............. <br /> REMARKS~ WATER/SEWER LN <br /> <br /> <br />