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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM: OREGON 9730'i <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a reglstored buildor <br /> <br />LJA; ~: 03/0b/9 I I' ir~E: g;18:46 <br /> <br />SIGNATURE OF APPLICANT <br /> OATE <br /> <br />owner OREI'_"N, JOE 'rAx LOT CATEGORY RES i DEN fiAL <br /> <br /> ] ¥?39 WARI3LER LANE NE <br />AURORA OR 9?002 f'4,c'¢AN'TRA¢:F-¢;LTY-~,f41LAF L;UUNfY UGS NO OCCUPANT LO^O <br /> <br />SUSOIWS~ON CEN f URY NIEAO©W5 <br /> <br />PHON~: Sire NUf4BER: 12434 <br /> VALUATION; <br /> <br />WIDTII DEPTII AHEA UNITS IRREG ~OT NO co R N E~t,.~ <br /> <br />MAP <br /> <br />CON lRACf Ol~., NO. ? 14.'? '~ <br />TOWN & COUN IRY ~.XC'AVAI ION <br /> <br />WrOQf.)BURN. OR 9'/'D'/1 <br />PHONE: 982-1'702 <br /> <br />WAFER LINES, l~f 100 FEET <br /> <br />f','E.~iLB H¢~ ~bW~R AND WAFER CONNECFION <br />PLUMBING ~IAI~ ~URCHARGE <br /> <br />rOFAL ~E~5.~ED <br />PREVIOUS <br />FHIS RECEiPF <br /> <br />QUANTITY AMOUNT <br /> 1 $30_00 <br /> $3.Y5 <br /> <br />$?8. ?5 <br />$'? 8, ? 5 <br /> $o.oo <br /> <br />BALANCE OUR SfJ, 0U <br /> <br />PAYEE, RECEIPT NOr <br />R~CEIVED BY: cl TYPE: CHECK <br /> <br /> * THiS iS A VALID PER~IIT * THIS PER,lIT EXPiRBS 180 DAYS FRO~I /TS I.~SUE DATE. IF <br />CONSTRUCTION CEA~PR FOR A PERIOD OF 180 DAYS, OR iF CONSTRUCTION FAILS TO MEET ALL <br />REqUIREI~ENTS OF STATE L.N¢~ AND I~ARION COUNTY BUILDING AND ZONING OROiNANCETS, 1HiS PER/~IT <br />~ALL BECO~IE NULL AND VOiD. <br /> <br />Rgr~ARKS: CONN/WL/SL R~5982 ~ <br />DONALD ~. WOODLbY, ~ARJON COUN1Y 8UiLDZNG OFFICIAL / BY ............... ~ <br /> <br />FORM # MC 15,56 REV 4/90 OF FICE COPY <br /> <br /> <br />