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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 />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performin~ work Cfi a property I own or occupy. <br />I am a re~istered builder OR the authorized representative <br /> of a registered builder, <br />The work will be po:formed by a registered builder. <br />Other. <br /> <br />SIGNATURE OF APPLICAN'f: <br /> DATE: <br /> <br />75060-090 <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />RE,~IDENT'~A <br /> <br /> 7721 'FERRANCE LANE <br />AUf~E. VlLLE OR <br /> <br />USE OF BUILDING: <br /> <br />CONTRACT CITY: UGB: <br />foCi. Ri ON COJNT¥ <br /> <br />NO <br /> <br />OCCUPANT LOAD: <br /> <br /> NO OF B['DR00MS <br /> <br />MAILING ADDRESS: <br /> <br />2130 COLE RD 5 <br />~al~ OR 973O6 <br />PHONE: 870-9107 <br /> <br />LOT: Bt ODK: SECTION: TOWNSHrP: <br /> 28 <br /> <br /> 137 234 22,058, <br /> <br />SUBDIVISION: <br /> <br />'t'ER,q~.NCE SUBDZVZSION <br /> <br />~F <br /> <br /> SiTE NUI'*IBER: 8645 <br /> VALUATION: <br />RANGE: ZONE: <br /> 2W AR <br />IRREG LOT: CORNER: <br /> NO NO <br /> <br />MAP: <br /> <br />51 <br /> <br />TYPE: PLUt"4~ING <br /> <br />RU~ELL, WILBUf~N <br />2~20 COLE ROS <br /> <br />PHONE: 370-9107 <br /> <br />SENER LIN~, 1S'I' 100 FEET <br />~LE HO~E SE~ER AND ~ATER ~NECT~ <br />FLEET ~HA~E <br />P~[NG S'rA'rE~A~E <br /> <br />PERfvII'l' OR APPLiCA'f~ON NO: <br /> <br />9027991 <br /> <br />TOTAL ASS~EO FEES <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />(~AN'rlTY <br />t $2o.oo <br />1 $3o.00 <br />1 $25.00 <br /> <br /> $3.'~5 <br /> <br />$82.59 <br /> $o.o0 <br />$82.59 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: RUSSELL, NILJBURN /]/¢% RECEIPT NO: 29580 <br /> RECEIVE0 BY: P8 ................................................................ ~ TYPE: OK CH~K ~: 1375 <br /> <br />* THIS IS NOT A PERi,liT. THIS APPLICATION ~ST ~ TH~ A R~i~ P~ERE THE <br />FOL~ING ~ST BE ~PLETEO. iT I~ THE R~SiBILITY OF THE APPLI~T TO ~RE THAT <br />ALL N~ INFO~Ti~ H~ 8E~ P~iDED. <br /> <br />PLAN REVIEW: bY DATE <br />I:~E~:~RKE,: CONN WL ,Sl R~2988 <br /> <br />CiTY JURISD[C'I'ZG~: 8Y DATE <br /> <br />OFFICE COP~' <br /> <br /> <br />