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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 />I 8,maregisteredbuilderOR( )theauthorizedrepresentatlve <br />of a registered builder, <br />The wcrk wiH be performed by a registered builger, <br />Other , _ <br /> <br /> DATE: 09/le/9;~ T,1;HE': 1~.~ 59.' 49 : YA~ E6~i QATE~ORY; <br /> RESIDENTIAL <br />AODRE~S~ , ~ONSTRUOTION TYPE: ~ OCCUPANCY: <br /> <br /> 11596 GROUSE LN NE :CO~RA~i'r~/; <br /> AURORA OR 97002 MARION COUNTY NO <br /> <br />MAILING ADDRESS: ~U BDIVISION'. <br /> <br /> SITE NUMBE~: <br /> PHONE: 678-52~7 VALUATION: <br /> <br />TYPE: PLUNBINC <br /> <br />PERNIT OR APPLICATION NO= 49&54 <br /> <br />CONTRACTOR. NO. <br />BROCK~ CNARLES <br />SAME <br /> <br />PHONE: &78-5207 <br /> <br /> ITEM QUANTITY AMOUNT <br />RESIDENTIAL FIXTURE, NEW CONST. 4 .$J6.00 <br />~E~DEN'flAL FIXTURE~ ALTERATIONS 2 <br />F'LtJHBING BASE FEE <br />PLUMBING STATE SURCHARGE $3,78 <br /> <br /> TOTRL <br /> : PREVIOUS RECEIPTS $77. <br /> THIS RECEIPT. <br /> ' BALANCE CUE <br />PAYEE: RECEIPT NO: <br /> <br /> $ THIS IS A VALID PERHiT* THIS PERHIT EXPIRES'18~ DAYS:FROH ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FORA PERIOD OF 188:DAYS, OR IF CONSTRUCTION FAILS TO HEET ALL <br /> EOUIREHEHTs OF STATE LAWS:ANDNARION:COUNTYBUILDING~ND ZONING ORDINANCES~ THIS PERMIT <br /> ALL BECOME NULL AND VOI~. <br /> <br /> RffHARKo. 6 FIXT <br /> <br /> DOMALD E. WOODLEY~ MARION COUNTY 'BOILDtN6 OFFICIAL / .................... <br /> <br />OFFIGE GOPY <br /> <br /> <br />