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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 H~GH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: $88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br /> <br />this document, <br /> <br />~W~ · AI'E: 'g 972'179~' T T HE';--1-4TOT.-' 3I ................ I fAX CCi; ........ ~ bAtbaC*t: <br /> <br /> ., CONTRACT CITY: ~ UCB: ~ OCCUPANT LOAD'. <br /> 195 9ETRO~T ~VE ~- ~ , ; <br /> <br /> ..................... r N0 0F BEDROOMS: <br /> <br /> PHONE: 854-3344 ~ VALUATION: <br /> <br />TYPE= PLUHBING <br /> <br />PERHIT OR APPLICATION NOt ~58342 <br /> <br />CONTRACTOR. HO. 04352 <br /> Spaniols Inc <br />240 E Zda 8t <br />Stay,on. ?7383-8000 <br />PHONE: 769-2820 <br /> <br />CONHERCIAL FIXTURE~ NEW CONST. <br />PLUHBING SASE FEE <br />PLUN~NG - ZHVEST~ATION FEE <br />PLUMBING STATE SURCHARGE <br /> <br />I;~QTAE~SSESSED:-,FEES <br />',:~P..R.E~,t~US~,REC~IP~TS <br /> <br /> '¢'[A,NCE <br /> <br />QUANTITY AMOUNT <br /> 2 $18.00 <br /> $20-00 <br /> $38.80 <br /> $1.90 <br /> <br />$0.00 <br /> <br />PAYEE: INVOICE NO: <br />RECEIVED BY: DF TYPE: CHECK <br /> <br /> ,* THIi!; IS NOT ~ PERHIT. <br />FOI.LOI~ZNG MUST ]BE <br /> LL HECESSARY <br /> <br />REViE~ PROCESS ~UERE THE <br /> APPLICANT TO ASSURE THAT <br /> <br />PLAN REVIEW: BY ~ , :::;ir, I~TTY::i~If~ISDZCTION; ~Y <br />REMARKS: BATHROOM (SiNK, ~O:I~ET)';:::~:: : <br /> <br />DATE ............. <br /> <br />OFFICE COPY <br /> <br /> <br />