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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 22,5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE: 588-5147 8:00-4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR ( ) the authorized representative SIGNATURE OF <br />of 8 registered builder. <br />The work will be performed by a registered builder. <br />Other . <br /> <br />~hi~ document <br /> <br />°wN~'rE' 04/03/91 'r IME~ <br />S,TUS ADDRES~EEDHAM,- CP~AIC~ <br /> <br /> 1189g '['HRU~M COURT <br />AURORA OR 9~002 <br /> <br />MAILING ADDRESS: <br /> <br />NE <br /> <br />TAX LOT; <br /> <br />CONTRAST CITY: I UGB: <br />~RieN ~f'Y ~o <br /> <br />OCcuPANCY: RES1 DENT ~AL <br /> <br /> gOAD: <br /> <br /> 23901 ~,'HUL'I'Z, RD <br /> AURORA 97002 <br /> PH¢..~ E: 878-5358 <br />LOT: BLOCK: <br /> <br />~iTE NUMBER.* 12839 <br />~A~LUA'I' 1'ON ~ ! ZONe: <br /> <br />MAP; <br /> <br />ARe*: 3,3 ;LJ~I~S;, 3S <br /> <br />...... ~ .... NFl .... <br /> <br />TYPE: PLUI~'IB ING <br /> <br />PER~I'F OR APPLICATION NO.+ 9031312 <br /> <br />~I'~CTOR, NO- <br />NEE~. C~iG <br />23901 ~U~I'Z RD NE <br />~RORA 97002 <br />~HONE: 678-5358 <br /> <br />WATER LINE5, 1:5'1 100 FEET <br />~P.5~ER L. INES,. 1~'! 100 FEET' <br />MOBILE HO~E SE~ER ~D NA'rER ~NEO'Fi~ <br />PLU~[NG STATE ~A~E <br /> <br />Q~JAN'I'iI'Y AI~3UN'I' <br /> <br /> $25.oo <br /> $3. ?s <br /> <br />TOTAL AE~EO <br />PREVIOUS RECEIPTS <br />THi:$REC~IPT <br /> <br />$78.75 <br /> $0.0o <br /> <br /> ~ BALANCE E~E $0.00 <br /> <br /> PAYEE: NEEg.~A~, CRAIG [~'} RECEtP'T NOz 33057 <br /> REC£1VED BY: D~I2 ::~ TYPE: OK C~ECK ~: 758 <br /> <br /> * THIS 1~ NOT A PE~IT. THIS~PLi~TI~ ~T ~ TH~ A R~I~ P~ ~E THE <br />~LL~INB ~ST BE ~TD. IT ~ ~E R~J~iLI~ ~.THE APPLI~T TO ~ THAT <br /> <br />PLAN REVIEW: BY ............................. DAT~ ..................................... <br /> <br />RE. MARK2S: r,,,X}NN/~L/SL R~7368 <br /> <br />CiTY JURiSDIC'ri~: BY ........................... DATE ............................. <br /> <br />FO~ ~ ~c ~s,s~ REV, ~/~ OFFICE COPY <br /> <br /> <br />