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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 /> work on a property I own or occupy <br />~[ /lamare!'l,sfoYodbullderOR, ,,heauthorizedrepfesenta,l'~e SIGNATUREOFAPRMCAN¢ <br /> <br />OAfE: 1't/05/90 liME: 11:47:48 <br /> <br /> ~iLDER, SAMUEL <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />RESI DEN f i,AL <br /> <br />29421 8OONI~,S PERRY RD <br /> <br />USE OF BUILDING <br /> <br />9?002 <br /> <br />NE <br /> <br />MARION ~%)UN fY NO <br /> <br />MAILING ADDRESS SUBDIVISION <br /> <br />1915 HAR~iSION ~g <br />MILHAUKiE, OR 97Z22 <br />PHONE: 656-03t5 <br /> <br />~ CT RI ©CK SECTION TOWNSHIP <br />22 <br /> <br />~llb NUMBER: 11235 <br />VALUA l' i ON: <br />RANGE ZONE <br /> <br /> lW <br /> IRREG LOT CORNER <br /> NO : NO <br /> <br />fYPg: MECHANICAL PER1vIIf OR APPLtCAIION NO: <br /> <br />CONli'~CfOR, NO. 14008 <br />ROTH HEALING <br />593 ~ 1~! AVE <br />CANBY, OREGON <br />PHONE: 2~6~1249 <br /> <br />28566 <br /> <br /> ifEM <br />(~5 CONN~CflON <br />PORC AiR PURN 100000 8fU OR LE~ <br />~CHANICAL 8A~ <br />f;LEE~ SURCItARGE ~Z0N~ 6 <br />MECHANICAL SLATE ~AJRCHARG~ <br /> <br />PAYEE: ROIH HEAriNG <br />R~CEiVED BY: CL <br /> <br />QUANIIIY AMOUNI <br />1 $2.00 <br />1 $~-ou <br /> $~0.00 <br /> <br /> 0.99 <br /> <br />PREVIOUS RECEIP'f5 <br />f'HI~ RECEIPI <br /> <br /> $o.00 <br />$28,58 <br /> <br />BALANCE DUE $0. O0 <br /> <br /> RECEiPt' NO: 30184 <br /> lYPE: CK CHECK ~t <br /> <br />~ f'HI~ I~ A VALID PER~'I' · TH~5 PER~JT EXPIRES 180 DAY~ FRO~ tI'S I~E DATE. JF <br />CONSIRUCFiON CEASES FOR A PERIOD OF ~80 DAY~, OR IF CONSTRUCTION FALLS fO MEE1 ALL <br />REQUIRE~ENF~ OF ~IATE LANS AND MARI~ ~NTY 8UILOiNG ~D Z~ING ORDINANCe, THi~ <br />~ALL 8EO~ NULL AND VOID. <br /> <br />REMARK,~: GA5 FURN R~A291 <br /> <br />DONALD E_ WOODL~Y, MARION COUNIY BUiLDiNG OFFiCiAL / 8Y <br /> <br />FORM # MC 15.56 REV 4/90 OF FICE COPY <br /> <br /> <br />