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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 /> t am a regi,Stered builder OR ( ) the authorized representative <br /> <br /> DATE;: 1012219¥ I':[ME~ <br />rOWNER; :' TAX LO~ <br /> MUIR, JOHN & DOHA[..EE <br /> ADDRESS: <br /> <br />CATEGORY; <br />RESIDENTIAL <br /> <br />i <br /> SAHE <br /> I SITE NUHBER: 93-8~676 <br /> PMONE: 749-~709 i VALUATION:. <br /> <br />TYPE: PLUH$ING <br /> <br />CONTRACTOR~ biO. <br />MlJlI% JOHN & DONALEE <br />SAME <br /> <br />PI,,If)NE: 747-370~ <br /> <br /> ITEM <br />WATEk LINES, 1ST 100 I EET <br />WATER LINES~ EA. ADDL. 1~0 FEET <br />SEWER LINES, 1ST 188 FEET <br />SEWER LINES, EA. ADDLu'. 100 FEET' <br />PLUHBING STATE SURCHARGE <br /> <br />TOTAL ASSESSED F'[ES <br />PREV'IOUSRECEI:~TS <br />.NI$.~RBGEIPT <br /> <br />QUANTITY AMOUNT <br />1 $20.00 <br />1 $15.,00 <br />1 <br />i $15.00 <br /> $4.00 <br /> <br />$84.00 <br /> $0.00 <br />$84.00 <br /> <br />$0~00 <br /> <br /> F'AYEE: MUIR, <br /> RECEIVED BY: MB %.,.V~:~_~. RECEIPT NO: 5~265 <br /> TYPE: CK CHI:~CK $: ~80 <br />* TH~S IS NOT A PERHIT. THIS'APPLI'CATION HUST GO THROUGH A REVIEW PROCESS ~HERE THE <br />FOLLOWING HUST BE COHPLETED. ~IT,ISTHE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY INFORNATIOH HAS BEEN,PROVIbE~, <br /> <br />PLAN REVIEW: BY ............ DATE: ................ <br />REMARKS: 200WL 200SL <br /> <br />gl'fY. JURISDICTION: BY ................ DATE ..................... <br /> <br />FO~M,~ MC lS.,~ REV.,~ OFFICE COPY <br /> <br /> <br />