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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALBM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I ~tm performing work on aproperty I own or occupy. <br />I am a registered builderO~( )theauthorlzed representative <br />of a fegistored builder, <br />The work will be performed by a registered builder, <br />Other.__ <br /> <br />ow~.rcurE: 01/22/91 'riME: 11:02:58 <br />S~ruS^¢bR~S~AHL, ROBERT <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br />QATEGORY: <br /> <br />OCCUPANCY: RESI OENI'J~AL <br /> <br /> 5932 ViLLASE vIE~CODRT <br /> AUM~ViLLE OR, 97325 <br />USE OF BUtLO~NG: <br /> <br />~E <br /> <br />D$4kRI ON ' C,'OUN TY NO <br /> <br />OCCUPANT LOAD: <br /> <br /> PO BOX t457 <br /> CEDAR CITY, UTAH 94,?20 <br /> PHONE: 801-586-8081 <br />LOT: 6LOCK: <br /> <br /> VILLAGE VIE~ <br /> <br />SiTE NUI~3ER: 9985 <br />:RAN~LUATION: iZ6NE; <br /> <br />AC NO : NO <br /> <br />TYPE: <br /> <br />PE~IT OR APPL~CA'riON NO: <br /> <br />CON'TRAO'TOR, NO. <br />DAHL, RQSERT <br />PO BOX 1457 <br />CEDAR Ct'fY, UTAH 94720 <br />PHONE: 801-586-8081 <br /> <br />ITEI~ <br />MOBILE HOME SE~ER AND ~A1'ER CONNECTioN <br />PLUMBIN(~ BA~E FEE <br />FLEET ~A~E ~Z~E 3 <br />P~ING STATE ~A~E <br /> <br />23513 <br /> <br />C. XJAN 1' i l'Y A~4OUNI <br /> <br /> ~3.84 <br /> 2.25 <br /> <br />TOTAL AE~E33ED FE~.~ $51.09 <br />PREVIOUS RECEIPTS 51.09 <br />THIS RECEIPT $0.00 <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEiP'r NO: <br />RECEIVED BY: CL TYPE: CHECK ~: 0 <br /> <br />THIS l~ NOT A PERMIT - THI~ I:~ A:REP-I~D DOIAIMENT. <br /> <br />REt~IARKS: REFUND OF UN-18,?~ED APPLICATION <br /> <br />DONALD E. ~)OOL~"Y, MARiON COUN'rY BUiLDiNG OFFiCiAL / BY ........................ ~ ......................................................... <br /> <br />FORM # MC 15,56 REV. 4/90 OFFICE COPY <br /> <br /> <br />