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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 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />©thor. <br /> <br /> DALE: 10/25/90 'riME: 14:23:39 <br />OWNER <br /> DUNN, TiM <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> 5't816-909 <br /> <br /> CONSTRUCTION ~YPE <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />RES 1 DEN I I Al-, <br /> <br /> ?45 MICHAEL WAY <br />AUMSVI LLE OR 97325 <br /> <br />USE OF BUILDING <br /> <br /> CONTRACT CItY <br /> <br />AUM~VILLE <br /> <br />NO <br /> <br />P-O. BOX 290 <br />AUM~ [VI LL_E, OR <br />PHONE: 749-25?5 <br /> <br />97525 <br /> <br />LOT BLOCK <br /> <br />WIDTH BEPTII <br /> 100 315 <br /> <br />25 8S <br />O. SF <br /> <br />SITE NUMBERt 11453 <br />VALUA'IiON: <br /> <br />RANGE ZONE <br /> 2W RS <br /> IR~EG LOT :CORNER <br /> YES NO <br /> <br />MAP <br /> <br />PLUMBING <br /> <br />PED~IlT OR APPLICATION <br /> <br />CONI'f4DAC'I'OR, NO+ 28838 <br />I.G.NICHOL PLUMBING, INC <br />P+O.8oX 166 <br />AUt4'~VILLE, OR 9'1325 <br />PHONE; 749-2071 <br /> <br />ITEM <br />RESiDP2~TIAL FIXFURE,. NEW CONS'r. <br />~/ATER LINES, 1S1 100 FEEl' <br />~E;NER LINES. lS'r 100 FEET <br />P~IN~ B~E FEE <br /> <br />PLUMING STALE ~A~E <br /> <br />28079 <br /> <br />TOTAL ~EO FEES <br />PRE¥iOUS RECEIPTS <br />THiS RECEiPF <br /> <br />C~JANIIIY AI~OUNf <br />16 $144.00 <br />1 ~20.00 <br />1 $30.00 <br /> $20.00 <br /> <br /> $10.?0 <br /> <br />¢228.54 <br />228.54 <br /> $o~oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: INVOICE NO: <br />RECEIVED BY: PR 1YPE= CHECK ~: 0 <br /> <br /> THIS IS A VALID PER~IT :~ THIS PERMIT EXPIRE~ 180 DAYS FRO~I ITS i~7¢JE BATE+ iF' <br />C~NSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FALLS TO MEET ALL <br />REtIREMEnTS OF STATE L.AH~ AND MARION COJNTY BUILDING AND ZONING ORDINANCES,. THIS PERMIT <br />~HALL BECOME NULL AND VOID. <br /> <br />REMARK.%: 16- FIX. W/S LINES <br /> <br />DONALD E. NOODLEY, MARioN CO~NfY BUiL01NG OFFiCiAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-5e REV 4/9o <br /> <br /> <br />