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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 R,M - 800 AM <br /> <br />DATE: <br /> <br /> OWNER <br /> <br />I ar~ performing work on a property I own or occupy <br /> <br /> 03/15/89 TIME: §:$1:25a <br /> <br />FMHA <br /> <br /> 930 LINCOLN ST <br />AUMSV[LLE <br /> <br />OR 97325 <br /> <br /> MAILING ADDRESS <br /> <br />1655 25TH ST SE <br />SALEM OR 97302 <br />PHONE: 399-5751 <br /> <br /> r~x LOT 90061--251 <br /> <br /> CONTRACT CITY UGB <br />AUHSVI LLE NO <br /> <br />GILl)OW ~2 <br /> <br />SITE NUFBER: 5822 <br />VALUATION: <br /> <br />CATEeOnV RESIDENTIAL <br /> <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD <br /> <br />9 3 25 85 2N RS 51 <br />WFDYH 87 DEPTH g7 AREA UN~TS SF ,g~6 LO'¢ YES co~ <br /> <br />[4405 <br /> <br />CZ)NTRACTOR, NO. 40630 <br />GENERAL EXCAVATION <br />P.O. 8OX5110 KINGNOOD ST N <br />SALEN,OR <br />PHONE= 378-9021 <br /> <br /> ITEN <br />~ATER L~NES, 1ST 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />FLEET SURCHARGE -ZONE 3 <br />PLUHBING STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br />1 $20.00 <br />1 $30.00 <br /> $8.84 <br /> $2.50 <br /> <br />TOTAL ~ED FEES <br />PREVIOUS F~ECEIPTS <br />THIS RECEIPT <br /> <br />$56.34 <br />$56.34 <br /> $o.oo <br /> <br />BALANCE BUE $0.00 <br /> <br />PAYEE: INVOICE NO: <br />RECEIVED BY: cl ........................ TYPEs CHECK ~: <br /> <br />~ THIS IS A VALID PERMIT ~ THIS PERMIT EXPIRES 180 DAYS FRC~I ITS ISSUE DATE. IF <br />CONSTI:~UCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE L_~htS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REDg~,RKS: N/S LN <br /> <br />0ONALD E. NOODLEY, ~ARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />