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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 />O~her <br /> <br />SIGNATURE OF APPUCANT <br /> DATE <br /> <br />°w NF~Z. TE = O3/28/91 liME.* <br /> <br />scus ADD~ES.~JOODNARD, MICHAEL <br /> <br />1050 N. 4rH <br /> <br />TAX LOT <br /> <br />CONSTRUCBON TYRE 57810--000 <br /> <br /> CONTRACT CITY UGS <br /> <br />AUI~VI LLE NO <br />SUBDIVISION <br /> <br /> CATEGORY <br /> <br /> OCCUPANCY R~I DEN } IAL <br /> <br />:OCCUPANT LOAS <br /> <br /> P.O+ BOX 287 <br /> AUI~,VI LLE <br /> F-,'HON ~: 74.9-3404 <br />LOT BLOCK <br /> <br />SECTION TOWNSHIP <br /> <br /> NUMBER: 12551 <br />RAN~LUAT ION: ZONE <br /> <br />MAE <br /> <br /> : A~R~A 25 UNITS <br />60'0 <br /> <br />88 IRREG LOT ?~,~ CORNER <br />SF YES NO <br /> <br /> 1YPE: MECHANICAL PERMi1 OR APPLICATION NO: <br /> <br />~0NI'P~ACTOR, NO. 69757 <br />~¢¢4 ~ O~ST~CT~ <br /> 050 N. 4tH <br />AU~VILLE <br />~E: 371~513 <br /> <br />~ ~3T P~S & D~ER V~lS <br />APPLi~CE OR A~RY (NOT ~VEREB) <br />M~i~L B~B FEE <br /> <br />31186 <br /> <br />QUANt IIY AMOUN I <br />1 $4,50 <br />2 $6. O0 <br />1 $4.50 <br /> $1o.oo <br /> Si ,25 <br /> <br /> TOTAL A~E,~ED FIEi~ $26.25 <br /> PRE'VIO~JS RECEIPTS ~0.00 <br /> ~HiS RECEIPT $26.25 <br /> SAUCE ~E $0.00 <br /> PAYEE: iNVOiCE NO: 32937 <br /> R~EIVEO BY: PR rY~:~ ~ECK =: o <br /> ~ TH~8 [8 A VALID PE~[T ~ TH~S EB[T B~tE 180 B~ <br />~T~T[~ C~ ~ A ~OD ~ 180 ~, OR iF ~T~T[~ FA~ TO ~ ALL <br /> <br />~LL B~ <br /> <br />RFJ~1ARK~: h~H' 2- E)(H$ rs' ~uclr EX'FENT iON ~.~__~ <br />DONALD E- NOODLEY, MARION CCVJN1 Y 8UI LDiNG OPFICiAL / BY ........................ ~ Il I <br /> <br />FORM # MC 15.58 RE-V 4/g0 OFFICE COPY <br /> <br /> <br />