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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM OREGON 97301 <br /> <br /> 24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />[ ~m performing work on a property I own or cc ,upy <br /> <br />"he work wdl be performed b~ a registered builder <br />Other. <br /> <br />DA[E: 11/29/90 'rll~E: 11:13:25 <br /> <br /> LAFARGE, LESL]E <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />RaSI DEN I IAL <br /> <br /> 13231 LAKE1HOOD DR NE CONTRACT CITY UGB <br />AU RC..)RA OR 97002 <br /> MARION COUN f'Y. NO. <br /> <br />U~F OF BUILDING <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BEDROOMS <br /> <br />MAILING ADDRESS 8UBDI'vlSION <br /> <br />LAKEHOOD ESIAIES 2 <br /> <br />PHONE: E1'~'8-5952 SI'rE NUIVIBER: 11810 <br /> VALUA l iON: <br /> <br /> ? 2 <br /> 60 1 BO BEMBO. SE NO NO <br /> <br />'TYPE: MkCH~ICClL PERMIT OR APPLICATION NO: 29005 <br /> <br />CON I RJ~C 1 OR, NO. <br />LAFARGE, L~LiE <br /> <br />PHONE: <br /> <br /> i rEM <br />DOMESIiC Wr.~O a'rovE <br />MECHANICAL BA~E FEE <br />FLEEr SURCHARGE -ZONE 6 <br />MECHANICAL ~ Ik'fJH AR'fG E <br /> <br />rO"fAL ASB~ED FEE~ <br />PREViOL~S RECEIPt'S <br />IHIS RkOEiP'r <br /> <br />~ALANCE DUE <br /> <br />QUANIiIY <br /> 1 <br /> <br />AMOUNT <br /> <br /> $10-00 <br /> <br /> $0.88 <br /> <br /> $26.06 <br /> $o.oo <br /> <br /> $o.oo <br /> <br /> PAYEE: LAFARGE, LESLIE RECEIPT NO: 30645 <br /> RECEIVED BY: PR ............................................................. TYPE: CK CHECK ~: ]285 <br /> <br />* THIS IS A VALID PERMIT · THIS PERMIT EXPIRE~ 180 OAY~ FRO~I ll'S iSSUE DATE. iF <br />CONSTRUCTiON CEASES FOR A PERIO0 OF 180 DAY~, OR iF CONSTRUCTION PAILS TO MEET ALL <br />RE(,~UIREMEN'IS OF SLATE LAI~i~ AND IVlARION CC~NTY BUILDING AND ZONING ORDINANCES. THiS PERMII <br />,SHALL BECCC4E NULL AND VOID. <br /> <br />REMARF.~: W5 R~3420 <br /> <br />DONALD E. ~,¢JODLEY. ~ARION f.2OUNTY BUiLDiNG OFFICIAL / BY <br /> <br />~OnM # MC 15-56~t~V 4/90 OFFICE COPY <br /> <br /> <br />