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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 - 4i30 <br />HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a Cegistered builder OR the authorized representettve <br /> <br />I have read and ~r~e to th"~ terms stated on tile re¥~rse sid'e Of <br /> <br />CATEGORY: <br /> <br /> CONSTRUCTtON TYPE; OCCUPANCY; <br />DENUT, CNERYL 15764&-000 RESI~,ENTIAL <br /> CONTRACT CITY: OCCUPANT LOAD: <br /> <br />LING <br /> <br />OR 97;~25 MARION COUNTY NO <br /> RUBDIVt$1ON; <br /> <br />1270 E~ALD AVE SE <br /> <br />MAP; <br /> <br />DEPTH; AREA: ' UNITS'. IRR~(3. LOT; CORNER; <br /> <br />7.95 AC NO NO <br /> <br />TYPE: <br /> <br />PERHZT OR APPLICATION NO: 521,~5 <br /> <br />CONTRACTOR., NO. <br />DEHUT,,. CHERYL <br />1270 EWAL9 AVE SE ' <br />SALEM 77;~02 :: <br />PNONE." 5~5~48&1 <br /> <br /> ~TEM ' ', .... ; ,' QUANTITY AHOUNT <br />WATER LINES, lOT I~ :::?~" ~::: i *2~.~ <br />~ATER LINES. EA. ":; <br />PLUMBING ~TATE ;~... 2 $3~, ~ <br /> <br /> $52.5e <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVE~ BY: PB <br /> TYPE: CHECK <br /> <br />CGHSTRUCTII~ CEASES FOR <br />EQUIREHENTS OF STATE <br />ALL BECOHE NULL ~ND <br /> <br />ITS ISSUE DATE. IF <br /> FAILS TOHEETALL <br /> GRBII~HCES~ THIS PERHIT <br /> <br />REMARKS: WATER LINE <br /> <br />I)ONALO E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM ~ MC 1~-5~ REV, 4~9o <br /> <br />OFFICE COPY <br /> <br /> <br />