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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />290 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 />SIGNATURE OF APPLICANf' <br /> DATB <br /> <br />GREEN, JOE <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />93-104821'/ <br /> <br /> 11672. fHRU~ COURT NE <br /> aURORA OR 9?002 <br />OF BUILDING <br /> <br />· r4ARION COUNfY <br /> <br />NO <br /> <br />OCCUPANT LOAD <br /> <br />CENTURY MEADOWS ~4 <br /> <br />L~T BLOCK SECTION TOWNSHIP <br /> 17 19 <br /> <br /> S.[ I'E NUMBER: 12432 <br /> VALUAI ION: <br />RANGE ZONE <br /> <br />IRREG [.OT CORNER <br /> NO NO <br /> <br />NO OF BFDROOM~ <br /> <br />fYPE: PLUIVlSING PERNII OR APPLICATION NO: 30?24 <br /> <br />CONIRACIOR, NO. V1471 <br />TOWN & COONfRY ~XCAVA¥iON <br /> <br />NOOBBURN, OR 9'7071 <br />PHONE: 982-1'/02 <br /> <br />WAFER LIN~, 15i 100 FiEf <br />SEWER LINES, 151 100 FEET <br />IvYOSILE HOME SEWER AND WATER CONNECIiON <br />PLUIV~iNG SLATE 5U~JHARGE <br /> <br />tOtAL A,.S~ED FEES <br />PREVir,,XJS RF_CEiP1S <br /> RECEIPT <br /> <br />QUAN I I f Y ,A~UN l <br />1 $20.00 <br />1 $30.90 <br />1 $25. <br /> <br />78,75 <br />$o.oo <br /> <br />BAL¢~NCE DUE $O.UO <br /> <br />RECEIPf NO: <br />CHECK ~: d <br /> <br />PAYE~: <br />RECEIVbD WY:: OM2 IYPE: <br /> <br /> THiS I3 A VALID PER)liT * THIS PERMIT EXPIRES 180 DAY~ Fl:~]l~1 iTS iS,~JE DATE. IF <br />CONSTRUCTI(~N 0~¢'~ FOR A PERIOD OF 180 DA~, OR I~ C~i$?RUCTI(~N FAJI~ TO ME~T ALL <br />R~iREI~ENTS OF STATE L~ AND f~RZON COUNTY BUILDIN6 AND ZONIN~ ORDINANCES, ~HJS PER~IT <br />· %~ALL B~C~E NULL AND VOID. <br /> <br />REMARK5: CONN/WL/~L R~5982 <br /> <br />D~ALD E. WOOOLEY, MARION O~JNTY BUiLDiNG OFFICIAL / BY <br /> <br />¢on~ ~ MC ~-~6REV ~o OFFICE COPY <br /> <br /> <br />