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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 />DALE: 06/18/91 [IN1E: 15:50:31 <br /> <br /> L..~AIKO, DONALD J. <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />TAX LOT <br /> 90260-4?5 <br /> <br />CONSTRUCTION TYPE <br /> <br /> 150 SCOI f AV~ -- CONTRACT CITY <br />DETROlI OR 9?342 <br /> <br />USE OF RNILDING <br /> <br />OCCUPANT LOAD <br /> <br />NO <br /> <br />MAILING ADDRESS SUBDIVISION <br /> <br /> BOX 5'7'I <br />DEIROII, OR 97342 <br /> <br />LOT BI OCK SECTION TOWNSHIP <br /> 1/2 5 1 10 <br /> 118 163 19234. SP <br /> <br />PAflON 2NO AODiIION <br /> <br /> $11E NUIV~ER: <br /> VALUA f' t ON: <br />RANGE ZONE <br /> 5E <br />IRREG LOT CORNER <br /> NO YES <br /> <br />RE51DbNl~AL <br /> <br />MAP <br /> <br />fYPE: PLUCCfSiNG PERMit OR APPLICATION NO: 32508 <br /> <br />CONfRACfOR, NO. 38421 <br />KEViN'S BACKHOE SERVICE <br />P.O. BOX 465 <br />DEfROIf, OREGON 97342 <br />PHONE: <br /> <br />WAFER LINES, 1SI 100 FEET <br />I~rfQ81LE HOP1E SEWER AND WAIER CONNECTION <br />PLUICCgING SFA'rE SURCHARGE <br /> <br />fOIAL ASS~ED FEb <br />T'HIS RECEIP'1 <br /> <br />QUANIIT¥ ANOONf <br />1 $20.00 <br />1 $25.00 <br /> <br />$47,25 <br />$4'7.25 <br /> $0.oo <br /> <br />~ALANCE DUE $0_OO <br /> <br />PAYg~: iNVOICE NO: <br />RECEIVED BY: ~12 IYPE: CHECK ~: 0 <br /> <br /> THIS IS A VALID PEF~IlT * THIS PERMIT EXPIRES 180 DAY~ FROM ITS IExSUE DATE. <br />CONSTRUCTION CF_AS~q FOR A PERIOD OF 180 DAY~, OR iF CONSTRUCTION FAIL~ TO MEET ALL <br />RE~JIRE~IENTS OF STATE ~ AND MARION COUNTY BUILDING AND ZONING ORDINANCES. THIS PERMIT <br />,3:~fALL 88JOULE NULL ANDVOID. <br /> <br />RPJf, tARKS; N/S CONN & WAFER LINE ~"~ <br />DONALD E. t4OODLEY, f4ARION COUN'f'Y BUILDING OPFiCiAL / 8Y .......... ~ ..... <br /> <br />FORM # MC l~>-Oe REV 4/90 OF FICE COPY <br /> <br /> <br />