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SENATORBLDG 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 /> I art~ performing work on a property I own or occupy <br /> <br /> DATE: 09/:~8/90 riME*. 12:21:59 <br />OWNER WiLDER, SAMUEL <br /> <br />SIGNATURE OF APPLICANf <br /> <br />SITUS ADDRESS <br /> <br /> 20421 BQONP-..~ PERRY RD <br /> AURORA ~ OFt <br /> <br /> 1915 HARRiSION SE <br /> MiLNAUKIE, OR 97222 <br /> PHONE: 656-.0315 <br /> <br />97002 <br /> <br />NE <br /> <br /> TAX LO~ 40921--000 <br /> CONSTRUCTION TYPE <br /> <br />¢AARI ON C~UNTY NO <br /> <br />SUBDIVISION <br /> <br />LOF Bt ODK SECTION <br />WIDTH DEPTH AREA <br /> <br />TOWNSHIP <br /> <br />UNITS <br /> <br /> ~I1E NUIVE~ER: <br /> VALUA'r I ON: <br /> <br />4S lW <br /> IRREG LOT NO <br /> <br />CATEGORY RESIDEN f 1AL <br />OCCUPANCY <br /> <br />L')DCUPAN 1 LOAD <br /> <br /> NO 0f' 8EOHOUM5 <br /> <br /> 3 <br /> <br /> 11255 <br /> <br /> ZONE MAP <br /> 5 <br /> <br />CORNF~O <br /> <br />'fYPfE: ON-SIf'E ~EIHAGE <br /> <br />PERtelf OR APPLICAIiON NO: 27318 <br /> <br />C'ONfRAC'fOR, NO. OEQ 3:3458 <br />JIM HICK5 E~(CAVA~ lNG <br />P.O. BOX t¢97 <br />CANDY, OR 97013 <br />PHONE: 266--5975 <br /> <br />~A I ER ~JPPLY: <br />T~F HOLES READY: <br />SIlg 'gWALUATION NUDA~ER: <br />EX'.STING F~K SIZE: <br />~I~'FiNG O~IN FtELD LINP~: <br />~EPTIC <br />PR~I DUB NO. <br /> <br />REPAIR - I~AAJOR 1 $80.00 <br /> <br />I'OTALASS~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEiPF <br /> <br />80.00 <br />So.co <br /> <br />$0_00 <br /> <br /> PAYEE: RP-.,CEiP¥ NO; <br /> RECEIVED BY: CL PYRE: CHECK ~: 0 <br /> <br />* THIS 18 A VALID PE~iT ~ THIS PE~IT ~PI~ 360 ~ F~ ITS I~E ~TE. IF <br />~ST~CT~ FAi~ TO MEET ALL R~iR~ OF STATE ~ ~D ~RI~ ~NTY BUILDING ~D <br />Z~NG ORDiN~C~, THIS PE~IT ~ALL 8~E NULL ~D VOIO. <br /> <br />RP3'4ARKS: ~AJOR REPAIR R~40'19 <br /> <br />DONALD E. NUODLEY, NARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />