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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGQN 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 /> <br />of a registered builder, <br />The work will be per[ormed by a registered builder. <br /> <br /> KUE, HNA,~T,~ DAVID <br />SITUS ADDRESS: <br /> <br />TAX LOT: CATEGORY; <br /> RESIDENTIAL <br />CONSTRUCTION TYPE; OCCUPANOY~ <br /> <br /> .1.1692 WARBLER LI.t NE CON'e"ACTO,T¥~ uGg; <br />AURORA OR ?7002 MARION COUNT~ NO <br /> <br />18216 "C" NW WALKER RD <br />BEAVERTON 97086 <br />PHONE: 690-7226 <br /> <br />~-~ ? ............. D~TH'· ........ AREA;' -- <br /> <br /> TYPE= PLUMBING PERMIT OR APPLICATION <br /> <br /> CONTRACTOR. NO. <br /> KOENNA~T~, DAVID <br /> 18216 C NW WALKE~ R~ <br /> BEAVERTON <br /> PHONE: <br /> <br /> ITEM <br /> WATER LINES~ 1ST 188 <br /> SEWE~ LINES. 1ST 188 ~ <br /> PLUMBING STATE <br /> <br /> PAYee: K[JEH~AST. DAVI <br /> RECEIVED BY. DH2 <br /> <br /> ~ THIS IS NOT A <br />FOLLOWIN~NUST BE <br /> LL NECESSARY ZNFORMATIQN <br /> <br /> PLAN REVIEW: ~Y <br /> <br /> REMARKS: WATER & <br /> <br />OCCUPANT LOAD: <br /> <br /> SUBDIVISION'. <br /> <br />....... ,.C.~ NT~J_R Y MEADOWS <br /> <br /> SITE HUMBER: ?3-83876 <br /> VALUATION= <br /> <br /> I'R;;G'L°T: <br /> <br />QUANTITY AMOUNT <br />I $20.00 <br />i $~0.00 <br /> $0.50 <br /> <br />$52.50 <br /> <br />$0.08 <br /> <br />~ECE~PT NO: 53656 <br />TYPE: CK CHI~CK ~: 98 <br /> <br /> WHERETHE <br />TO ASSURE:THAT <br /> <br />BY ............. ~{)ATE ..................... <br /> <br />FORM # MC t6.~ REV. 4/SO OFFICE COPY <br /> <br /> <br />