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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 /> 09/19/90 ffME: 12:19:04 <br /> <br />$iTUS ADD~bs~ACK~ON, JOE B. & MILDRED <br /> <br /> 8501HOMC~UI~f RD SE <br />~ AU~VILLE OR 97325 <br />USE OF BUiLDiNG <br /> <br /> OONSIRUOTION T'CPE OCCUPANCY RES,,( DEN I IAL <br /> <br /> CONTRACT CITS UGB OCCUPANT LOAO <br /> <br />MARION COUN'~Y NO ~o Fie ~FDPOQM~ <br /> <br /> PO BOX 1187 <br /> AUft~VtLLg OR 97325 <br /> F~IONE: 749-222? <br /> <br />LOT BLOCK SECTION <br /> <br />TOWNSHIP <br /> <br />~AN~{ALUAFION: ZONE <br /> <br />4.264 <br /> <br />272 <br /> <br />AREA ,~1 UNITS <br /> ~7~OO, <br /> <br />85 msse ~OT tN CORNSR AR <br />SF NO NO <br /> <br />48 <br /> <br />'IYPg$ PLUMBING PERM~I OR APPLiCAIlON NO: 90273~2 <br /> <br />O%)NfRACfOR, NO. <br />JACKSON, JOE B. & MILDRED <br />f4D BOX 1187 <br />AUMSVILLE OR 97325 <br />PHONE; <br /> <br /> iIEM <br />MO~iL~ NOME ~EWER AND WAFER C%)NNECFiON <br />PLE~T ,SURCHARGE -ZONE ~, <br />PLU~fNG S'?A'rE SURCHARGE <br /> <br />TOIAL ~E~ED FEES <br />PRb%'iOUS RECEIPTS <br />THIS RECEiPI <br /> <br />0UANIlIY AMOUNI <br /> ~ $2b-gu <br /> $3.84 <br /> <br />$30.09 <br /> $o,oo <br />$~o_o9 <br /> <br />BALANCE DUE $0_09 <br /> <br /> PAYEE; JACK,~JN. JOE B. & f','IJ;LOR,~D ",,¢ RECEIPT NO- 28953 <br /> RECEiVeD BY~ PB :~ fYPE: CK ~gCK ~: ?47 <br />~ THIS IS NOT A ~IT. THIS APPLI~TI~T ~ ~ A R~I~ P~ ~ERE THE <br />~L~ING ~T BE ~PL~TED. IT 1S THE ~181LITY OF THE APPLI~T TO ~RE THAT <br /> <br />PLAN Rg¥1F-N: BY <br /> <br />REMARKS: CONN R'~29L16 <br /> <br />DArE <br /> <br />ClFY JURiSDiCTiON: BY DAlE <br /> <br /> OFFICE COPY <br />FORM ~ MC 15,56 REV 4/90 <br /> <br /> <br />