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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: $88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br /> <br />Other <br /> <br />I here read and agree to the terms stated on the reverse side of <br />this documerlt, <br /> <br />j OWNER'. TAX LOT, , <br /> <br /> i <br /> <br /> ~ETRO];T OR 97~42 ~E'fROIT <br /> <br /> PI, tOI4E: ~54-,3~3'2 ~ VALUATION: <br /> <br />L ~ ........... L J .% ~ , ,,;;; <br /> <br />TYPE: PLUMBINE <br /> <br />PERMIT OR APPLICATION <br /> <br />COIllRAgTOR~ NO~ 928~0 <br />SEMINOLE ENVIRONMENTAL. <br />12632 SII_,VERTON RD NE <br />SIL. VERTON~ ¢~Y381 <br />PHONE: 87~,..54e4 <br /> <br /> ITEM <br />ADDITIONAL PI..UMB~NG FEES :: <br /> <br />PI,,UHBIN~; 9Tfl'rE SURCHARGE <br /> <br />PAYEE: ,.SEMINOLE <br />RECETVE~ BY: <br /> <br />THIS IS A VALID PERMI <br /> <br />-'ES <br /> <br />QUANTITY AHOUNT <br /> 1 $4.50 <br /> <br /> $:L,.2~ <br /> <br />$2S,'73 <br /> $0,00 <br /> <br />'rNVOICE NO.- 63432 <br />TYPE': ZI,f EHE&'K ~1:: 0 <br /> <br />FROM ITS ISSUE DATE. IF <br /> FAIL8 TO HEET ALL <br /> <br />E(~UIREMENTS OF STATE ZONING ORi)INANCES~ THIS PERMIT <br />ALL BECOHE HULL AND VOl <br /> <br /> I:~EHARK!:h; LAWN SPR:I:NKLER ~ ' : <br /> <br /> OONALJ) E,, WOO1)LEY, MARIO~ ,.O~fY ~¢]..DIq6 0 . IAL . _ ................................................................................ <br /> <br />OFFICE COPY <br /> <br /> <br />