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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 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A,M. <br /> <br /> DATE: 10/17/88 Tt~,IE: 11:26;32a <br /> <br />~OWNEn: HAMPTON, LAURENCE S & JACQUALZN <br /> <br /> ,.~ITLJ S AoD~ESS: <br /> <br /> 10964 JAMES WAY <br />' AUMSVILLE OR 97325 <br /> <br />USE OF BUILDfNG; <br /> <br />MAIL tNG AD ~R~S; <br /> <br /> SAME <br /> <br /> PHONE: N/P <br /> <br />LOT: [~EOCK: <br /> <br /> [D~PfH: <br /> <br /> 29 <br /> <br />:AA~^: 2. ?9000 uN,rs: <br /> <br /> CONgYRUCTION TYPE: i OCCUPANCY; <br />MARION COUNTY NO <br /> <br /> CAMELLIA HEIGHTS <br /> <br /> SITE NUMBER: 5615 <br /> VALUATION <br /> <br /> : RANGE: i ZONE'. I MAr~'. <br /> <br />TYPE: PLUMBING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />HAMPTON, LAURENCE S & JAC4~ALIN <br />SAME <br /> <br />PHONE: N/P <br /> <br /> ITEN <br />WATER L[NES, 1ST 100 FEET <br />MOBILE HOME SEWER AND WATER CONNECTION <br />FLEET SURCHARGE ~ZONE 2 <br />PLUMBING STATE SURCHARGE <br /> <br />PAYEE~ <br />RECEIVEO BY: P8 <br /> <br />11496 <br /> <br />QUANTITY <br /> 1 <br /> 1 <br /> <br />TOTAL ASSEE~EDFEES <br />PREVIOUS RECEIRTS <br />THIS RECEIP¥. <br />BALANCE DUE;':;i.i <br /> ,RECEIPT NO: <br /> TYPE~:':~=~ CHECK <br /> <br />AMOUNT <br /> ~20.00 <br /> $2.56 <br /> 2.25 <br /> <br />$49.81 <br /> 49.81 <br /> $0.00 <br /> <br />$0.00 <br /> <br />THIS IS A VALID PERMIT * THIS :PE~IT [~E ~TE. ~F <br />~BCTI~ C~ES FOR A PERIOD OF 180 ~; OR IE:~CTI~ FA[~ TO ~E~ ALL <br /> <br />~ALL BEdE NULL ~D ~ID: : <br /> <br />REMARKS: CONN NL R~ <br />D~ALD E. WOODLEY, ~ARION COUNTY BUILDING 0FFzozAL <br /> <br />OFFICE COPY <br /> <br /> <br />