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MARION COUNTY <br /> B1. JILDING INSPI~CTION <br />Senator Ituild{ng * 220 Higl~ Street NE * Second Floor * Salem. Oregon 97301-3670 <br /> <br /> Office Hours: 8:00 - 4:30 Phone: 588-5147 24 Hour Code-A-Phone: 588.7904 <br /> <br />DATE: 04/20/90 TIME* 12:46:$4 <br /> <br /> WADSJ/CORTH, JOE <br /> <br />52283-206 <br /> <br />corq'4ERC I AL <br /> <br /> 995 OLNEY ST <br />AUMSVI LLE OR 97325 <br /> <br />AUM~VILLE <br /> <br />¸NO <br /> <br />PO BOX 170 <br />.aJ. JI'4SVILLE OR 97325 <br />PHONE: 364-8479 <br /> <br />SITE NUIVl3ER: 9529 <br />VALUATION: <br /> <br /> 25 SS 2N ID <br />100 200 20000+ SF NO NO <br /> <br />51 <br /> <br />TYPE: PLUMBING <br /> <br />PEP, NIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55760 <br />d+N. NABC:~ORTH <br />8058 SILVER FALLS HNY SE <br />AUI',~3VILLE OR 9?325 <br />PHONE: 364-8479 <br /> <br /> ITEM <br />CO~ERCIAL FIXTURE, NEW CONST. <br />PLUMBING BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE ,SURCHARGE <br /> <br />9023393 <br /> <br />TOTAL A..,qSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 6 <br /> 20.00 <br /> ~3.84 <br /> 3.70 <br /> <br /> $o.0o <br />$81.54 <br /> <br /> BALANCE OUE / ......... $o_00 <br /> PAYEE; J.N. WADSWORTH ~ l ...... iNVOICE NOs 24789 <br /> RECEIVED BY- 98 TYPE: ~% CHECK ~ 0 <br />FoLLTHo~IS IS NOT A PE~IT. ~IS ~PLI~TI~ ~ST ~ ~ A R~I~ P~ ~ERE ~E <br /> ING ~ST BE ~PL~ED: IT IS ~E R~IBILI~ ~APPLIC~T TO ~RE ~AT <br />ALL N~ INFO~TI~ H~ BE~ P~IDED. - ...... <br /> <br />PLAN REVIEW: BY <br />REMARKS: 6 FIX <br /> <br />DATE <br /> <br />CITY JURISDICTION: BY ............................ DATE <br /> <br /> <br />