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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: 588-514'7 8:00 - 4:30 <br />24. HOUR CODE-A-PHONE: 588-7904 <br /> <br />( ) Other__, <br /> <br />GANNON, LYNN ~ ~A~'RICK <br /> <br />SfGNATURE OF APPLICANT: <br /> CATE: <br /> <br />11655 LARK COURT NE <br />AURORA OR <br />USE OF 801LOING: <br /> <br />REBID~N'I~A!L <br /> <br />MAILING ADDRESS~ ~---- <br /> <br />MARION COUNTY NO <br /> <br />,OOCUPANT LOAD: <br /> <br /> NO OF 8tDR00MS <br /> <br />29665 ROsE LANE SN <br />WiL$ON¥1LLE 9'70'70 <br />PHC)NE: 682-8892 <br /> <br />~286 <br /> <br />CENI URY MEAr,30~5 <br /> <br /> SITE NUMBER: 14783 <br /> VALUATION; <br />, BLOCK; , SECTION: TOWNSHIP: RANGE: ZONE; MAP: <br /> <br />85; SF NO <br /> <br />TYPE: PLUP48ING <br /> <br />PERMIT OR APPLICATION NO: 36607 <br /> <br />CONTRACTOR, NO. 39902 <br />CARL SCHAUMBUfqG <br />~96 S~ 27TH <br />ALBANY, 97321 <br />PHONE: 928-6159 <br /> <br /> iTEM QUAN'Ii'I'Y ANKAJN'f' <br />WATER LiNgS, lS'f' 100 FEET 1 $20_80 <br />$ENER LINES, lSl' 10O FEE1 1 $30.0D <br />PLUMBING STATE SUR%,~ARGE $2.50 <br /> <br />TOTAL ASSESMSD FEES <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />~52.50 <br /> 52.50 <br /> <br />BALANCE BUE $0.00 <br /> <br />PAYEEt RECEIPT NOt <br />RECEIVED BY: DM2 TYPE: CHECK ~: 0 <br /> <br />THIS iS A VALID PFJ~IIT * THIS PEI;~IIT I~<PIRE~ 180 DAY8 FROf4 ITS iS..~JE DATE. IF <br />~ST~CTI~ C~ FOR A P~IO0 OF 180 DAY~, OR IF ~ST~CTI~ FAi~ TO MEET ALL <br />R~IR~TS OF STATE ~ ~O ~RI~ ~NTY BUILDING ~ Z~ING ORDIN~C~, THiS ~IT <br />~ALL B~E NULL ~O ~[D. <br /> <br />RFJ~IARKS: ~L/~L R~3870 <br /> <br />EX]NAL0 E. NOOOL.EY, MARION COUNTY BUiLDiNG OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />