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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 888-7904 <br /> <br />of a registered builder, <br /> <br />DATE: 09/8~/93. ¥IHE. ;14.26. <br />BROCK, CHARLES <br /> <br />AURORA OR 97002 <br /> <br />, YAX LOT: : CATEGORY: <br /> RESII)EMTtAL <br />C6~STRuc¥~ON ~gFE: i OCCUPANCY: <br /> <br />MARION COUNTY:: NO <br /> <br /> : CENTURY,~MEADQWG ~2 <br />SAME <br /> SITE NUMBER: 93-83851 <br />PHONE-' 678-5207 VALUATION: <br /> <br /> i ' ~ , <br /> o8 ~ 7;~ 4~5~. SF L..... NO <br /> <br />TYPE: PLUNBING <br /> <br />PERNIT OR APPLICATION NO: 9¢49654 <br /> <br />CONTRACTOR. NO, <br />BRQ~K~ ~NARLES <br />SAME <br /> <br />PHONE:678-5207 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE, NEW CONST. <br />RESIDENTIAL FIXTURE,'ALTERATIONS <br />PLUMBING BASE FEE <br />PL. UHBIH~ STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />4 <br />2 $18.00 <br /> $28.08 <br /> <br />$77,79 <br /> <br />$77.70 <br /> <br />BALANCE'DUE $0.0~ <br /> <br /> PAYEE: BROCK~ CHARLES RECEIPT NO: 52815 <br /> RECEIVE~ BY: MB TYPE: CK CHECK ~: 619 <br />~ THIS IS NOT A PERHIT.' THIS APPLICATION NUST GO THROUGH A REVIEM PROCESS WHERE THE <br />FOLLOWING OUST SE CONPL/TED. IT ISTHE' RESPONS'I~ILITY OF THE APPLICANT T0 ASSURE THAT <br /> LL NECESSARY ZNFOR~ATIONNAS,BEEN PRO¥~DE~. <br /> <br />PLAN REVIEW: BY .......... DATE_~ <br />REMARKS: 6 FIXT <br /> <br />CITY JURISDICTION: BY ......... DATE ................... <br /> <br />OFFICE COPY <br /> <br /> <br />