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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 am performing work on a property I own or occupy. <br />I am a r%gistered buiJ¢er OR the authorized representabve <br />of a regl.tered builder. <br />The work will be pedormed by a registered builder. <br />Other, <br /> <br />DATE. 1:1./08/%'j TIME. <br /> <br /> 1.67? STAYTON R~ <br /> ......................... <br /> <br /> 1.14 .... 140 <br /> <br />TYPE: PLUMBING <br />CONTRACTOR~ NO,,t , <br />~CL. AUCHLAN~ ROEERT <br />SAHE <br /> <br />PHONE: 76~-",~:L24 <br /> <br />ITEH <br />~'f'ER LINES~ 19'f te~ FEET <br />W~TER I._INES~ E&. ~DDL,, 188 FEET <br />SE~ER LIN~S. iST 180 FEET <br />F'LUHBIN6 ~T~TE SURCHAR6E <br /> <br />PERMIT OR APPLICATION NO: 49717 <br /> <br />I AYEE. <br /> <br />TOTAL ASSE$OED,,FEES <br />PRE~IOUS,RECEIPTS <br />TH,IS' RECEIP'! <br /> <br />BALANCE DUE <br /> <br />QUANTITY AMO~JNT <br />1 $20.00 <br />1 $15,,00 <br />1 $30.00 <br /> $;~. 25 <br /> <br />RECEIPT NO: <br /> <br />$68.'~" <br />$~8.25 <br /> $0.00 <br /> <br />$0,00 <br /> <br /> RECEIVED BY: PB TYPE: CHECK ~: 0 <br />~ THIS IS A VALID PERNIT * THIS PER~IT EXPIRES 188'DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD,OF 18~ DAYS~ OR IF CONSTRUCTION FAILS TO MEET ALL <br />EQUIRENENTS OF STATE LAWS AND MARION COUNTY BUILDiNG, AND ZONING ORDINANCES, THIS PERMIT <br /> ALL BECOHE NULL AND VOID, , , , <br /> <br /> RE~ARI(S: WL.~ SL. <br /> <br /> DONALD E,, ~OODLEY, MARION COUNTY BUZLDZNG OFFICIAL / BY ................................................................ <br /> <br />FORM # MC 1 ~-~6 REV, 4,'~0 OFFICE COPY <br /> <br /> <br />