MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO. 2;25
<br />220 HiGH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br /> :"PHONE 588-5147
<br /> CODE-A-PHONE 4:30 RM, - 8:00 A,M.
<br />
<br />DATE: 08/30/89 TIME: 1!:14;06a
<br />
<br /> JOHNSON, HAROLD & ~iANOA
<br />
<br />CON~TRUCT~(2N TYPE: OCCUPANCY:
<br />
<br /> 1025 F,'tAIN ST
<br />AU~IS',/! LLE OR 97'325
<br />
<br />CONTRA~ CITY: UGB:
<br />AU~,~VILLE ?,/0
<br />
<br />OCCUPANT LOAD:
<br />
<br /> NO OF BEDROOMS:
<br />
<br />MAILING ADDRESS:
<br />
<br />SUBDIVISION:
<br />
<br />'.;'O 'BOX ,~.2t~
<br />AUr,,1SVIL. LE OR 9?325
<br />PHONE; 749-262?
<br />
<br />LOT: BLOCK: SECTION:
<br />WIDTH; OEPYHI AREA:
<br />
<br />TYPE: FLUb48 ING
<br />
<br />CONTRACTOR, NO.
<br />JOHN,SON. HAROLD & NANQA
<br />DO BOX 426
<br />AUHSV [ LLE OR 9?325
<br />~HONE: 749~2827
<br />
<br /> ITE~
<br />COHIv[ERC~AL P~XTURE, ALTE~T
<br />PLUM¢ING BASE FEE
<br />FLEET SURCHARGE -,ZONE 3
<br />PLU~8[NG STATE SURCHARGE
<br />
<br />PAYEEt JOHNSON~
<br />t~ECEfYEO BY: PB
<br />
<br /> TOWNSHIP:
<br />
<br />.
<br /> UN~¥S:
<br />
<br /> SITE NUMBER-- 924, 1
<br /> VALUATION:
<br /> RANGE: ZONE:
<br />
<br />88 2N
<br /> IRREG. LOT; CORNER:
<br /> NO NO
<br />
<br />MAP:
<br />
<br />PERMIT OR APPLICATION NO: 38543
<br />
<br />~UANTITY
<br /> 2
<br />
<br /> :,TOTAL ASSESSED FEES
<br /> ~REV'IOC,,JS RECEIPTS
<br /> -HIS RECEIPT
<br />
<br /> 8ALSO, CE CUE
<br />
<br />HAROLD & WAND~¢'$MITH,!'~'~' ,'IN\¢OICE NO~
<br /> T~PE';,=~N CHECK ~:
<br />
<br />A~"IOU N T
<br /> $'18.00
<br /> $20_ 00
<br />
<br /> 'I. 90
<br />
<br />$4~.74
<br /> $0-00
<br />
<br />!9687
<br /> 0
<br />
<br />................................. '"=':'= ====---.;==,L~, ,%,
<br /> ~ THIS IS A VALID PER3~IIT ~,~ ~EI¢,~t,P, EB~{1;,"EXPI,RES ?90 DAYS"EtROf4 ];TS ISSUE DATE. IF
<br /> CONSTRUCT];C~4 CF,.AS~ FOR A {:>E,~*~,,,,,O~;O~ ,~,:ee",eA¥'S,, De :[,E,:COfqST, eUO,T,];O~ FAILS TO NEET ALL
<br /> REq~JIRENENTS OF STATE LANS,' Af~..ID',fCC~.RION,,COUNTY,,BU'[LO~',NG ,AND:,zONING OFOZNANCES,. THIS PERNIT
<br /> SHALL BEOOf4E NULL AND VOIO,~
<br />
<br /> RE~.~.RKS; 2 E'~X ..... ' ' '' ' ...............
<br /> DONALD E. ¢,4OOOLEY, klARION
<br />
<br />~O~M * ac ~s-s~ REV. ,/ae OFFICE COPY
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