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MARION COUN.,TY BI~ILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />2¢)0 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 AM <br /> <br />of 8 registered buitdor <br /> <br />this document <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />03/o9/89 <br /> <br />FMHA <br /> <br />TIMEr 9:48:01a <br /> <br />TAX LOT <br /> <br /> 90061-261 <br /> <br />CATEGORY <br /> RESIDENTIAL <br />OCCUPAN¢~ <br /> <br /> 910 LINCOLN ST <br />:AUh'"CSVILLE <br /> USE OF BUILDING <br /> <br />OR 9?925 <br /> <br />AUM~VI LLE NO <br /> <br />MAILING ADDRESS <br /> <br />1655 25TH ST SE <br />SALEM OR 97302 <br />PHONE: 399-5751 <br /> <br />GILD~N ~2 <br /> <br />SITE NUMBER: <br />VALUATION: <br />RANGE ZONE: <br /> <br />5824 <br /> <br />WIBT~~ DEPTH 3 AREA <br /> 8? 9? <br /> <br />SF <br /> <br />2W <br /> CORNER <br /> <br /> YES NO <br /> <br />51 <br /> <br />TYPE: PLUMBING <br /> <br />CONTRACTOR, NO. <br />FMHA <br />1655 25TH ST SE <br />SALEIvl OR 9730.2 <br />PHONE: 399-5751 <br /> <br /> ITEM <br />WATER LINES, 15T 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />FLEET SURCHARGE ~ZONE 6 <br /> <br />PAYEE: FMHA <br /> <br />PERMIT OR APPLICATION NO: 14400 <br /> <br />TOTAL ~i~ED FEES <br />p~-'VI OUS IREcCEI PTS <br />THI6 RECEIPT <br /> <br />(~JANTITY <br /> 1 <br /> 1 <br /> <br />AjVDUNT <br /> $20.00 <br /> 30.0'0 <br /> <br />$5?.68 <br /> $o.oo <br />$57.68 <br /> <br />BAL,ANC~ DUE $0.00 <br /> <br />INVOICE NO: 15276 <br /> <br /> RECEIVED BY: pr...................... TYPE~. IN CHECK ~: 0 <br />,', m THIS IS A VALID PERMIT * THIS PE~IT ~IR~ 18~ ~ ~ ITS I~ ~T~. IF <br /> ' ~CTI~ C~ FOR A P~RIOD OF 180 ~, 'OR IF ~T~CTI~ FAI~ TO ~ ALL <br /> R~IR~ OF STA~ ~ ~D ~I~ '~ ~I'LDI~ ~O Z~ING ORDI~, ~IS PE~IT <br /> ~ALL BE~ NULL ~D ~ID. <br /> <br /> W/S LN 100FT ~ ~ ~ <br /> R~ARKS: <br /> ~NALD E. N~DLEY, ~R~ ~NTY BU~LO~Ng OFFiCiAL / BY~~ ___ <br /> <br />FORM ~ MC 15,56 ~'~ 11'88 OFFICE COPY <br /> <br /> <br />