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MARION COUNTY BUILDING INSPECTION <br />S~NATOR BLDG NO,, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4::$0 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />of a registered builder <br /> <br />DATE <br /> <br />~IOWNB&I'E: 09/1g/91 TIME: 30:.57:t~2 / ~A~u~ .............. I <br /> <br />i SITU., AnOneSS ( CONSTR0~TION TYPE <br /> 120 ~K~CR~ r OR ] CON~ACT C~TY ~ bOCU,ANT LO~ <br /> DETail OR 97342 <br />rO~e OF ~U~LO'~ .............................. ~T ........... ~ <br /> <br />M~,,L,NG *DO*ESS SINGLE FAt, lILY 0~-~ELINGS <br /> <br /> 243? ~ SEYNE,'tJR DR <br /> POR'I LAND OR 97201 <br /> PHONE: 244-6087 <br />LOT ~ BLOCK <br /> <br />90: <br /> <br /> Anna 0'2 u~rr~ <br />'170 ~ <br /> <br />~A-F-}ON. Jr ................. <br /> <br /> SITE NUrC/dER: 14108 <br /> <br />i~M~"E&r SE' TUrn,Eh -R~ ......... <br />......... NO; ~ .................... <br /> <br />TYPE: OW~LLiNG P~"R~41 r OR APPLICAtiON NO: <br /> <br />CONTRACTOR, NO. <br />L,b. AC-J ELD, RAYMON 0 <br />2437 5W SEYMOUR DR <br />PORTLAND OR 97201 <br />PHONE: 244-608? <br /> <br />PAYEE: LF,~AG.JELD, RAYI~OND <br /> <br /> 90351310P <br />ARC~IIEC1/ENGiNEER, NO. <br /> <br />'TOI'AL <br /> <br />BALANCE DUE <br /> <br />OUAN f i 1Y <br /> <br /> ~335.47 <br /> 122.33 <br /> $30+48 <br /> ~95.52 <br /> 29.19 <br /> $~85.o0 <br /> <br /> $797.99 <br /> $883.24 <br /> -$85.25 <br /> <br /> $0.00 <br />37169 <br /> <br /> RECEIVED BY: CL ,,.(Y,~E,,:, fN CHECK At: 0 <br />.... . --~' ,.~ . ~ ::";~; :: .:: ~.~ .. <br /> * tHIS ~5 Nor A P~r. T~S;'~Seb, Z,~'r.Z~,~ ,~:'rH~:¢A;REWZEN P~E~ ~ERE tHE <br /> FOLL~.N~ ~ST BE ~PLEIEP~ '~T;'iS;:THE :'R~SIBZ~ZSY;"OF,,:T~E APPLI~T 10 ~RE lHA1 <br /> <br /> PL~ R~IE~: BY ............. DAT~ ....................... <br /> SEPtiC: Bg_ PArE ~ <br /> <br />FORM # ~ 15,56 REV <br /> <br />ZONING: ElY DATE ~E"fEfAOK,~: PR 20 LS 5, <br />RENARK~: NE~--RES .................... ' -'' <br /> <br />HEiGHI: 33 IOTAL¢~ PI: 2085 S'TORI~: 2 <br /> <br /> OFFICE COPY <br /> <br />RS_5 RR 5 5P ......... <br /> <br />PLAN.ACT ION: <br /> <br /> <br />