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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 />The work will be ;~erformed by a registered builder. <br /> <br /> ~824 KEENE LN SE I <br /> <br /> ~-'~"~Eb-O--R ~ E E~"-~"~d'~"f'-~-~A~ ~ '3 <br /> SAHE <br /> <br /> PHONE: 747-318J, ' VALUATION: : <br />,W BTH: DEPTH ' ARE~9 J UN T~S ,R~ ~OT: ] co~ 46 <br /> <br />TYPE: PLUMBTHg <br /> <br />PERMIT OR APpLTCATIUfl NO-' 48959' <br /> <br />CON'f'RACTOR~ NO. 40394 <br />Kurt Carpenter <br />306?5 Ferry l:[oad SE <br />~'~ayto~% 97~B3-0000 <br />PHONE: 8~9-3330 <br /> <br /> ITEM <br />RESIDENTIAL FIXTURE~ NEW CONST. <br />PLUHBING BASE FEE <br />PLUHBING STATE SURCHARGE <br /> <br />TOTAL ASSESSE~ FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $27.00 <br /> <br /> $2.35 <br /> <br />$49.35 <br /> $9.99 <br /> <br />BALANCE.DUE $e,,00 <br /> <br /> PAYEE' . <br /> · .-. ~A ~ RECEIPT NO~ <br /> RECEIVE~ BY: MB ~_~_~__~:.... . TYPE: CHECK ~: 0 <br />..................... Z--___~-~=~2~-~2~:~2~]Z~ ......................................................... <br /> * THIS IS A VALID PERHI:T $ THIS PERHIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br /> <br />EQUiRE~EHTS OF STATE LAMS AND HARIBN'COUHTY DUILDIN~ AHD ZONING ORDINANCES, TH~S PE~IT <br />ALL BECOHE NULL AND VOID. <br /> <br />REMARKS: 3/FIX <br /> <br />DONALD E,, WOODLEY, MARION COUNTY BUILDING OFFICIAL /,BY '_ ................................................................... <br /> <br />FORM # MC 15-5e REV, 4/~0 OF FiCE COPY <br /> <br /> <br />