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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. <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 />$1GNATUR~ OF APPLICANT: <br /> <br /> DATE: <br /> <br />°W~'TE: 09/12/89 <br /> "~,ORA N, TOM <br /> <br />TIME: 9:12:59a <br /> <br /> TAX LOT; <br /> <br />' OONSTRUOTION TYPE: <br /> <br />@ <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br /> CONTRACT CITY: UGB: <br /> f:YT0 87,,I .... <br />ALJ!vISV I L, LE OR 97325 <br />USE OF BUILDING: ,~U~SV I LLE NO <br /> <br />OCCUPANT LOAO: <br /> <br /> NO. OF BEDROOMS: <br /> <br /> 0ELMAR I I I <br /> PO BOX 185 <br /> SUBLIMITY OR 97885 <br /> PHONE: 789-7384. SITE NUMBER: <br />LOT: BLOCK: SECTION: TOWNSHm: RANB'#ALLJAT I O~: ZONE: <br /> <br />8335 <br /> <br />MAP: <br /> <br />~5 95 7t25.08 SF NO NO <br /> <br />TYPE,· P!..LIMBING PERMIT OR ,APPLICATION NO: 18787 <br /> <br />CONTRACTOR, NO. 318 <br />E:MBPY & SONS CONST. <br />PO 8OX 39S <br />STAYTON, OR~ 97382 <br />~t"lOh~: 769-7781 <br /> <br />WATER L]:NES, 1ST 180 FEET <br />SE~ER LINES, !ST !00 FEET <br />~LEET SURCF!ARGE ,-ZONE 3 <br />PLLIMSTN© STATE SURCHARGE <br /> <br />QU.,~NT i ~Y AMOUNT <br /> $28 80 <br /> ! $30. <br /> $3.84 <br /> <br />*_THIS IS A VALID PERMIT '~j ~;~S:::'~:~IIT' E~P:~ES :~:8~,i':~A~Si!;'~ ~TS ISlE D~TE_ <br />~ST~CTI~ C~SES FOR A :P~:~ghOE,: ],8~:,,DA~S;; OR: ~E ~S~¢~I~ FALLS TO MEET ALL <br />REQUIR~TS OF STATB LA~ 8~I,LD:~NG AN~ Z~ING ORDIN~CES, THIS PE~IT <br />~ALL BECOME NULL ~D VOI~'; '",, <br /> <br />OONALD E. WOODLEY, ~ARION COUNTY 8UILOiNG O~rC~AL /BY __~ <br /> <br />FORM ~ MC 1~-58 REV. 11/$8 OFFICE COPY <br /> <br /> <br />