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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO 225 <br />220 HIGH S~TREET NE <br /> SALEM: OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8 00 A M, <br /> <br />OORAN, TOM <br /> <br />OWNER <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br /> 90040-510 <br /> <br />TAX LOT <br /> <br />RES I 0ENT f AL <br /> <br />A~T~s~TH OR g7325 <br /> <br /> CONSTRUCTION TYPE OCCUPANCY <br />AUMSVI LLE YES <br /> <br />DSE OF BUILDING <br /> <br />PHONE: 769-7364 <br /> <br /> DEL MAR III <br /> <br />SITE NU~ER: 8749 <br />VALUATION: <br /> <br />NO OF BEDROOM5 <br /> <br /> q0 6 25 85 <br /> <br /> LOT ?5 BLOCK 95 SECTIOn,25.00 TOWNSHIP SF R~NGE <br /> <br />TYPEt PLUMBING PERMIT OR APPLICATION NO: 14591 <br /> <br />2W RRS <br />NO ZONED <br /> <br />MAP <br /> <br />EMERY & SONS CONST_ <br /> <br />PO BOX 398 <br />STAYTON, ()RE 97383 <br />PHONE: 769-?751 <br /> <br /> ITEM QUANTITY <br />MATER LINES, 1ST 100 FEET 1 <br />SEWER LINES, 1ST 100 FEET <br />FLEET SURCHARGE -ZONE <br />PLUMBING ST4TE SURCHARGE <br /> <br />TOTAL ASS---""~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT <br /> $20,00 <br /> $50.00 <br /> $3.84 <br /> $2.50 <br /> <br />$5534 <br />$56.34 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: INVOICE NO: <br />RECEIVED BY: pr TYPE: CHECK <br /> <br /> THIS IS A VALID PERMIT ~ THIS PERMIT EXPIRES 180 BAYS FROM ITS ISSUE DATE. IF <br />CCNSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAIL.S TO MEET ALL <br />RE(~UIRIB~IENTS OF STATE LAN~AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECO~4E NULL AND VOID. <br /> <br />REMARKS: W/S LN 100PT <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />¢o~ ,¢ MC ~5s,~ ~Ev ~,e8 OFFICE COPY <br /> <br /> <br />