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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 />registered builder, <br /> <br />~ h~ve read 8.nd ,zgree ta the terms s ~tted on the reve se side <br />this document. <br /> <br />OWNER; <br /> OA'FI¢: Og/12/gD 'F,[ME: 13:01:39 <br /> <br />SI'IUSADDRES~AFT, JOYCE &' I'~RRY <br /> <br /> 18425 8UT'fE,'ViLLE I:QQAD <br />: us~iNa. OR '9'T002 <br /> <br />NE <br /> <br /> ~ONTRACT CITY; <br /> <br />I~t&RiON COUNTY <br /> <br /> SUBD VISION <br /> <br />NO <br /> <br /> OCCUPANCY: RESiDENT[Ab <br /> <br />: OCCUPANT LOAD: <br /> <br />W DTH. DEI~TH. ARES <br /> <br /> ~)~,~. NUMBER'+ ZONE' 10984 <br /> TOWNSHIP; --"~ALUA'r ION: <br /> <br />36 8S 2N EF'U <br /> <br />MAP: <br /> <br /> g <br /> <br />TYPE: PLUmBiNG <br /> <br />CONTRACTOR, NO. <br />KP, AP'I', JOYCE & TERRY <br /> <br />PERMIT OR APPLiCATiON NO: <br /> <br />26543 <br /> <br />PHONEt 981-0954 <br /> <br /> Il'EM <br />~ILE HOME SE~ER AND ~'fER CONNEC'flOH <br />FLEET SURCHARGE -ZONE 4 <br />PLUt4BING STATE SURCHARGE <br /> <br />I!0TALAE~E~SEDFEE~ <br />'PREVIOUS RECEIP'rS <br />THIS RECEIPT <br /> <br />QU/~N'ITfY AMOUNT <br /> 1 $25.00 <br /> ~5.12 <br /> 1.25 <br /> <br />~31.37 <br /> 31.3'1 <br /> $o.oo <br /> <br />BALANCE BIJE <br /> <br />RECEIVED BY: GL ........................ RECEIPT NO: <br />* THiS 15 A VALID EXPIRE~ 180 DAY~ FRO~ IT8 15SUE DATE+ IF <br /> <br />CONSTRUCTION CEASES FOR A ,PERIOO:OF 180 DAY8, OR iF CONSTRUCTfON FAIL.~ TO F~ET ALt_ <br />RE(~JIRi~I:.NTS OF STATE ~ AND ~Z[]N COJNTY I~UILOIN~i AND ZONING ORDINANCES,, THIS PERMIT <br />t~HALL I~ECOME NULL AND ~OID. <br /> <br />RE~ARK~: CONN R~3761 <br />DONALD E. ~OOOLEY, t,tARION COONTY 8U. iLDING OFFICiAL/ BY ................................................................................~ <br /> <br /> OFFICE COPY <br />FORM # MO ~ 5.58 REV, 4/90 <br /> <br /> <br />