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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: 588-514T 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />l am a registered builder OR ( ) the authorized representative <br />of a registered builder, <br /> <br />0WN~TE: 04/29/92 <br /> GREEN, JOE <br />$1¥UB ADDRESS: <br /> <br />CONST¢ JCTION TYPE <br /> <br />'f055ll'¢ <br /> <br /> 11682 THRUSH COUR'f <br /> AURORA OR <br /> <br />USE O¢ BUILDINGr <br /> <br />CONTRACT CITY: JGB'. <br />V~XR 1 ON .COUNTY ~U <br /> <br />CATEGORY <br /> <br />OCGUPANE <br /> <br />OCCUPANT LOAD: <br /> <br /> NO OF BEOROOMS <br /> <br />CEN:IURY MEADOWS NU 4 <br /> <br />MAP' <br /> <br />:WIDTH; <br /> <br />20 WALKING ~X.Y. DD DR <br />LAKE OSWE(~O, OR <br />PHON~: 9?002 ~llb--NUIVIBER: 92-01583 <br /> VALUA - l ON: <br /> BLOCK' SECTION'. ' TOWNSHIP: RANGE ZONE <br /> <br /> 10 ..... 33 3B 'u,~t <br /> DEPTH; AREA: UNITS RREG. LOT'. CORNER <br /> <br />~5 95 Fs! ?'5, SF NO . NO <br /> <br />18 <br /> <br />,<gSi DtN'l i A[ <br /> <br />TYPE: PLUNk3 lNG <br /> <br />PERMIT OR APPLICATION NO: 9039538 <br /> <br />(]ONTRAC'FOR, NO. <br /> LAMAiN CONSTRUCTION <br />205 SE 4'f'H <br />'f'ROU'f'DALE, 9?060-0000 <br />PHON~: ?60-??36 <br /> <br /> iTEM <br />NA'['ER LINES, ~SI' 100 FEE'(' <br />SEWER LINES, 1S'T' 100 FEET <br />PLUIVlBIN~ STATE .~JRC. HARGE <br /> <br />PAYEE: GREEN, JOE <br />RECEIVED BY: CL <br /> <br />QUAN'T'i'I'Y AMOUNT <br />1 $2o.~0 <br />'1 $30.00 <br /> $2-50 <br /> <br />TOTAL A~EBSED <br />PRE¥IOUS REC~IP'f'~ <br />THiS RECELP'f <br /> <br />$59.50 <br /> $0,00 <br /> <br />BALANCE DUE $o.oo <br /> <br />RECEIPT NO: 41587 <br />'FYPg: CK CHECK ~: ?40 <br /> <br />~ THIS iS NOT A PEf~qIT. THiS APPLICATION I~tJST GO THROUGH A RE~N/i~H PI~]CES~ [~HERE THE <br />POLL(~ING ~UST BE C~PLETED, .iT iS THF~ RESPONS.i~ILITY OF THE APPLICANT TO A~RE THAT <br />ALL NECESSARY iNFORfCATION HAS BEEN PROVIDED. <br /> <br />PLAN RE¥iEW: BY ..................................... DATE ............................................ CiTY JURiSDICTiON: 8Y ............................ DA'I~ ...................... <br /> <br />REMARKS: WL, SL <br /> <br /> OFFICEOOPY <br />FORM # MC 15-56 R~, 4/90 <br /> <br /> <br />