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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> ~,, 220,[~iGH STREET NE <br /> BALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 EM, - 8:00 A,M, <br /> <br />I am performing work on 8 property I own or occupy, <br />I am a registered builder OR the authorized representative <br />of a feglstored builder. <br />The work will be performed by a registered builder. <br />Other ........ <br />I flaw reed and agree to the terms stated on the reverse side of <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> OAYE: <br /> <br />OWNF · <br /> DANCE: 03/05/90 <br />suus AOD~E~RAN, TON <br /> <br />TIME: 16:05:23 <br /> <br /> 950 HAZEL <br />ub~cL~E OR 9?325 <br /> <br />TAX LOT; <br /> <br />CONSTRUCTION TYPE: 90061--441 <br /> <br />' CATEGORY: <br /> <br /> OCCUPANCY: RESIDENTIAL <br /> <br />PO 8OX 185 <br />SUBLIMITY OR 97385 <br /> <br /> CONTRACT CITY; UGB: <br /> <br />AUMSV f LLE NO <br /> <br />OCCUPANT LOAD'. <br /> <br /> NO, OF SEOSOOMS: <br /> <br /> 8 5 <br />........... $0, 1 1 6 <br /> <br />GILDON'$ ADDITION II <br /> <br />SITE NUMBER: 8532 <br />RA~LUATiON: ZONE: <br /> <br />MAP: <br /> <br />25 5S 2W <br />8120 RF Nfl , ,,,,NO <br /> <br />51 <br /> <br />1WPE: PLUIV~3ING PERNIT OR APPLICATION NO: 22146 <br /> <br />CONTRACTOR, NO. 44551 <br />DNAIN BETHEL & SONS EXC <br />P,O. BOX 504 <br />TURNER OR 9?392 <br />PHONE: ?43-2343 <br /> <br /> ITF~ <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />FLEET .?AJRCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />PAYEE: <br />RECEIVED BY: PR <br /> <br />QUANTITY AJvlOUNT <br />1 $20.00 <br />1 <br /> <br /> 2.50 <br /> <br />TOTAL ,ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THI3,RECEIPT <br /> <br />$56.34 <br />$55.24 <br /> $o.oo <br /> <br />BALANCE DUE <br /> <br /> , ,,,,, INVOICE NO, <br />.......................................................................... · YPE :',, ',, CHECK <br /> <br />THIS IS A VALID PERIVlIT * I,~SUE DATE. If <br />~$TRU~TiON CF_.ASE~ FOR A TO ~ ALL <br />~ALIR~TS OF ~ATE ~I~ ~iT <br /> L 8~E NULL ~D VOID. , , ~' <br /> RENaRKS: NATES/SEWER LINES ~'~t' ~, ~ <br /> ~ALD E. N~DLEY, ~RION C~N~ BUILOING :OFFICIAL / BY <br /> <br />i. OHM ¢ MC 1S.56 ~SV 11/88 OFFICE COPY <br /> <br /> <br />