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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 /> <br />am performing work on a property t own or oocucy <br /> <br />10/25/90 <br /> <br />SELDEN, PAUL <br /> <br />rIME: 13:09:28 <br /> <br />RE51DP.N ] IAI.. <br /> <br /> 12021 FARGO RD <br /> AURORA <br />USE OF BUILDING <br /> <br />OR 97002 <br /> <br />NE <br /> <br />t'V~,RiON COLIN rY NO <br /> <br />SUBDIVISION <br /> <br />PO BOX 4.13 FARGO <br />AUAYgRA OR 97002 <br />PHONE; 8'18-5484 <br /> <br />[ CT SLOCK SECTION <br /> <br /> SiIE NUC4BER.' 6630 <br /> VALUAT,[ON: <br />TOWNSHIP RANGE ZONE <br /> <br />UNITS ~,S IRREO LOT 1~ CORNER <br /> ~ NO NO <br /> <br />MAP <br /> <br />IYPE: Iv~O~[LE HD~E PERIZi1 OR APPL[CATiON NO*. <br /> <br />CON FRAC FOR, NO. <br />SELDEN, PAUL <br />PO IBOX 4-13 FARGo TRAILEF.~S <br />ALII~)RA OR 97002 <br />PHONE: 678-548A <br /> <br />9028316 <br /> <br /> i1 EIVl <br />FLE. Ef ~RCHARGE -ZONE 4 <br />IV'lC)BILE HO~E S)O("O%GE FEE <br /> <br />PAYEE: FAR-GO TRAiLER~ INC <br />RECEIVED BY.' P~ <br /> <br />TOTAL ~ED FEES <br />PREV,[OUS RECEIPTS <br />'tH,IS RECE,[P r <br /> <br />BALANCE DUE <br /> <br />QUANf IlY <br /> 1 <br /> <br /> $5.12 <br />$25_00 <br /> <br />$30,12 <br /> $o.o0 <br />$30.12 <br /> <br /> $0.00 <br /> <br /> REGEJPr 29916 <br /> TYPE: OK CHECK ~: 692 <br /> <br />* THIS 18 NOT A PERMIT. THiS APPL,[CAT,[ON MI.I~T 60 THRE~JI~I A REWIE~ PREX3EE~ INHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE Ri~G~N$IB[L,[TY OF THE APPL[C~T TO ~RE THAT <br /> <br /> SEPTIC: BY DATE CiTY JURiSDIC'II~: BY DAlE <br /> <br /> R~R~: 5'FO~GE-PE~Zr ~E~L'-T0"REPAJR ~B~LE ............. <br /> <br /> PLANNING AOI~ON: <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 FIEV 4/90 <br /> <br /> <br />