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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 H~GR STREET NE <br /> SALEM~ OREGON 97301 <br /> <br /> PHONE:: 588-5147 8:00 - 4:80 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />OWN~E: 04/01/91 flME: 14:18:58 <br /> <br /> NOORE, WESLEY <br />SITUS ADDRFSS <br /> <br />CONSTRUCTION TYPE <br /> <br /> 205 EVERGREEN DR <br /> /NU~VILLE OR 97325 <br />USE OF BUILDING <br /> <br /> CONTRACT CITY <br /> <br />AUf4~V 1LLE <br /> <br />UGB <br /> <br />SUBDIVISION <br /> <br />NO <br /> <br />CATEGORY <br /> <br /> R~5 ~ DEN 1 i AL <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />PHONE: <br /> <br />BLOCK SECTION TOWNSHIP <br /> <br />5iIE NUMBER: 11801 <br />VALUA r i~: <br />RAN(~E ZONE <br /> <br />IRREG LOT CORNER <br /> <br />NO ~ NO <br /> <br />MAP <br /> <br />fYPEt PLUMBING <br /> <br />PERDlIT OR APPLICATION NO,; <br /> <br />CONIRACTOR, NO, 43485 <br />BQS'S MO81LE SET UP <br />14262 $. r4APLEEROVE <br />IVIOLLALA, OREf.,.-Y2N <br />PHONE: 829-6983 <br /> <br /> ['rEM <br />MO~ILE HOME SEWER AND HATER CONNEC'rIOM <br /> <br />PAYEE: MOORE, W~LEY <br /> <br />908126? <br /> <br />TOTAL ASSE,SSED F'EE~ <br />PREVIOUS RFJSEIPI'S <br />THiS RECEIPT <br /> <br />QU/~NIIIY ~vr.~JN1 <br /> 1 $25+oo <br /> $1.25 <br /> <br />$26.25 <br /> $o,oo <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 33017 <br /> <br /> RECEIVED BY; c'l TYPE; iN CHECK ~: 0 <br />* l~lIS 1~ NOT A PERMIT. THIB A~PLiCATION MUST ~O THROU~ A R~I~ P~ ~e~ THE <br />~LL~iNG ~T BE ~TED. IT iS T~ R~I~ILI~ OF ~E APPLI~T TO ~ THAT <br />~ N~ IN~TI~ H~ ~I~D. <br /> <br />PLAN REVIEN: BY <br />R~RK,S: NH CON <br /> <br />DA'rE <br /> <br />CITY JURiSDiCTION: 8Y DAIE <br /> <br />FORM # MO 15-56 REV 4/90 OFFICE COPY <br /> <br /> <br />