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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 />DATE: 12/20/90 riME: 9:21:06 <br /> ALBERS, JIM <br /> <br />51TUS ADDRESS <br /> <br />RESt DEN 1 iAL <br /> <br /> 14720 ALS~R~ WAY <br />AURORA <br /> <br />USE O~ BUILDING <br /> <br />OR 97002 <br /> <br />SUBDIVISION <br /> <br /> UGB OCCUPANT LOAD <br /> NO <br /> <br /> 3 <br /> <br />AI~ER~ CREel ADOiIlON <br /> <br />PHONE: 678-5420 <br /> <br /> 9 1 12 <br /> <br />SI'rE NUMBER; <br /> VALUAT iON *. <br /> <br />RANGE <br /> <br />IRREQ LOT NO <br /> <br />11564 <br /> <br />MAP <br /> <br />tYPE: ON-SirE S~AGE <br /> <br />P~,R~llF OR APPLICAtiON NO: <br /> <br />CON I'RAC FOR, NO. <br />ALJ3EF~, dl~ <br /> <br />PHONE: 5?8-5420 <br /> <br />29266 <br /> <br />WATER ~UPPLY: 04 <br />TE$'I HOLES RF. ADY: <br />SITE EVALUATiON NUM~P.R: <br />EXI~IiNG lANK SIZE: <br />~ISTING O~IN ~iELD LIN~: <br />SEPI' iC I'~K <br />PREVia8 NO, B~D~: <br /> <br />SE < 6 MONTHS OLD <br /> <br /> TO1AL AE~.%"F_J.SSED FEES <br /> PREVIOUS RECEIPTS <br /> THiS RECEi P1 <br /> <br />PAYEE: <br />RECEIVED BY~ CL <br /> <br />QUANIlTY AMOUNI <br /> 1 $110.00 <br /> <br /> ~110.00 <br /> 110.00 <br /> $0_00 <br /> <br />BALANCE DUE $0.00 <br /> <br />iNVOiCE NO: <br /> C"'IECK ~ <br /> <br /> TYPE.+ <br /> .............. T_~ .......... ............. J~iJ ...... <br />~EE AIFACHED DOCUM~'r FOR RF_..QUIRIB~IP.:Nr8 OF <br /> <br /> THiS IS A VALID PE~IT ~ THiS PE~IT ~PIR~ 360 <br /> <br />C~NSTRUCTiDN FALLS TO MEET ALL RE~JIRE~If~NTS OF STATE L~ AND MARION COUNTY BUILDING AND <br />ZONIN~i ORDINANCES, THIS PEf;~ilT E;HALL I~ECO~E NULL AND VOID+ <br /> <br />R E, MA R,v,,S: PBRI~I l r <br /> <br />DONALD E. [~¢.YODLE~(, ~RION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />CORM ~ MC 15.56 REV 4/90 <br /> <br /> <br />