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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 />CODE-A-PHONE 4 30 PM - 8 00 A M <br /> <br />SI(~NATURE O~ APPLICANT <br /> <br /> DATE <br /> <br />ow~TE: 06/0?/89 TIME: <br /> <br /> BERN lNG, BRETT <br />SITUS ADDRESS <br /> <br />9:00:05~ <br /> <br />T^XLOT <br /> <br />CONSTRUCTION TYPE <br /> <br /> 720 MICHAEL WAY <br /> AUt'4Sv I LLE <br />USE OF BUILDING <br /> <br />OR 97325 <br /> <br /> CONTRACT CITY <br /> <br />AUD~VI LLE <br /> <br />UGB <br /> <br />NO <br /> <br />MAILING ADDRESS ------ <br /> <br />PO BOX 290 <br />AUMSVILLE OR 97325 <br />PHONEr 749-25?6 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br />PARCEL <br /> <br />SITE NUMBER: 3004 <br />VALUATION: <br />R&NGB ZONE <br /> <br />WIDTH DEPTH AREA <br /> 167 220 <br /> <br />25 UNITS 86 IRREC LOT 2W CORNER ~ <br /> SF YES NO <br /> <br />RESIDENTIAL <br /> <br />190 QF BFDROOMS <br /> <br />MAP <br /> <br />TYPE: PLUMBING PERMIT OR APPLICATION NO: 17911 <br /> <br />CONTRACTOR, NO. 312 <br />EMERY & SONS CONST. <br />PO BOX 398 <br />STAYTON, ORE 97383 <br />PHONE: 769-?751 <br /> <br /> ITEM <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />FLEET SURE~ARGE -ZONE 3 <br />PLUMBING STATE ,SURCHARGE <br /> <br />TOTAL ~E,,'F,.SED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY ANOUNT <br />1 $20.00 <br />1 $30.00 <br /> $3.84 <br /> $2.50 <br /> <br />~56.34 <br /> 56.34 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: INVOICE NO: <br />RECEIVED BY: ¢>8 TYPE: CHECK <br /> <br />* THIS IS A VALID PER'lIT * THIS pEI~4IT EXPIRES 180 DAYS FEDS1 ITS I~-~JE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAIL~ TO MEET ALL <br />REQUIREMENTS OF STATE ~ AND ~IARiON COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />~dALL BECOME NULL AND VOID. <br /> <br />REMARKS: WATER SEWER LINES <br />[~NALB E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ..... ~ ............... <br /> <br />FO~M~M015-58 RE~ I~O~ O~-FfCE COPY <br /> <br /> <br />