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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />~'20 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 /> The work will be performed by a registered builder. <br /> Other <br /> I heve read and agree to the terms stated on the reverse side of <br /> <br /> DATE: ~8/24/93 TIME: 1~:28:24 <br /> ' CARLSON~ ROBERT , ' ' ,,~,~..,-~. , <br /> <br /> 1~5 LE~S ST -- <br />;'O'~ O~ ~u~m~L- ~o o~ B~o~oo~s: . <br /> <br /> 482 SE 26TN ST <br /> PHONE: 648-4826 VALUATION: <br /> <br />TYPE: PLUHBING <br /> <br />PERNIT OR APPLICATION HO: 49361 <br /> <br />CONTRACTOR, NO. <br />CARLSON, ROBERT <br />482 SE 26TH ST <br />NILLSBORO O~E ~7~ <br />PHONE: 640-4026 <br /> <br /> ITEN <br />RESIDENTIAL FIXTURE~ ALTERATIONS <br />PLUMBING BASE FEE <br />PLUMBING STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUSRECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> i $9.00 <br /> $20.00 <br /> $1.45 <br /> <br />$~0.45 <br /> $0,,00 <br /> <br />B~LANCE QUE $0.00 <br /> <br /> PAYEE: CARLSOH, ROBERT INVOICE NO: 5172~ <br /> RECEIVED BY: DN2 ....................................... TYPE: CK CHECK ~: 8~0 <br /> <br /> ~ THIS iS A VALID PERFllT ~ THIS PERHIT EXPIRES 188 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIODQF XS~ DAYS, OR IF C~NSTRUCTXON FAILS TO N~ET ALL <br /> EDUIRENENTS OF STATE LA~S .AND HARIONCOUNTYBUILDINGAND ZONING ORDINANCES, THIS PER~IT <br /> ALL BECOHE NULL AND <br /> <br />REMARKS: WATER HEATER _~...._ -.-~-. <br />I)ONALD E. WOODLEY~ MARION COUNTY BUILDING OFFIUIAL / BY <br /> <br />ro~ # MC ~s.se R~V,.~/~O OFFICE COPY <br /> <br /> <br />