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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 /> -. CODeR-A-PHONE 4;30 F~M, - 8:00 A,M. <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br />SIGNATtJRE OF APPLICANT; <br /> <br /> 0ATE: <br /> <br />°w~.:.~TE: 06/23/89 <br />SITUS Arc0REs~r~)RAN . TOM <br /> <br />TIME: 12:50:43p <br /> <br />CONSTRUCTION TYPE: 90061-- 191 <br /> <br />CATEGORYI <br /> <br />OCCUPANCY: RESIDENTIAL <br /> <br />955 CHERYL <br /> <br />MAILING ADDRESS: <br /> <br /> CONTRACT CITY; <br /> <br />AUMSVILLE <br /> <br />UGB: <br /> <br />NO <br /> <br />OCCUPANT LOAD: <br /> <br /> NO. OF BEDROOMS: <br /> <br /> PO SOX 185 <br /> SUBLIMITY OR 97385 <br /> PHONE: 769-7364 <br />LOT: BLOCK; <br /> <br />SECTION: TOWNSHIP: <br /> <br /> ~ILOOW II <br /> <br /> SITE NUMBER: <br />~ANa~AL~JATIONzzoNE: <br /> <br />7680 <br /> <br />MAR: <br /> <br />WID tH. 3 DEPTN: 8 AREA: 25 UNITS: <br /> 77 97 <br /> <br />88 IRREG LO'r: ~1,,~ CORNER: RI <br /> YES NO <br /> <br />51 <br /> <br />TYPE: PLUF~I'NG PERMIT OR APPLICATION NO: 18965 <br /> <br />CONTRACTOR, NO. 312 <br />ENERY& SONS CONST. <br />PO BOX 398: <br />STAYTON, ORE 97283 <br />PHONE: 769-7751 <br /> <br /> ITEM <br />WATER LINES, 1.ST 100 FEET <br /> <br />PLUMBING STATE SURCHA~E <br /> <br />PAYEE: <br />RECEIVED <br /> <br /> THIS IS A VALID ~[~4IT ~ <br />COI~RUCTION ~ FOR <br />RF-~UIP, ENENTS OF ~'I'ATE <br />E~IALL BECOME NULL AND VOID'. <br /> <br />TOTAl; ~EO FEES <br />PREVZOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />TYPE'= <br /> <br />REMARKS: WATER/SEWER LINES <br /> <br />DONALD Et NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OUANTITY AMOUNT <br /> $20.00 <br /> <br /> $2.50 <br /> <br /> ~56.34 <br /> 56.34 <br /> $0.00 <br /> $o.oo <br /> <br />I~VOICE NO: CHECK ~ <br /> <br /> ITS ISSUE DATE. IF <br /> FAILS TO MEET ALL <br /> ORDINANCES. THIS PERMIT <br /> <br />OFFICE COPY <br /> <br /> <br />