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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:5Sa-5147 8;00-
<br />24 HOUR CODE-A-PHONE: 588-7904
<br />
<br />this document,
<br />
<br /> OA'rE:
<br />
<br /> 6REEN,~ JOE
<br />
<br />J ~m performing work on a property I own er occupy.
<br />~ am a registered builder OR the authorized representative
<br /> of a registered builder,
<br />The work will be peMormed by a registered builder.
<br />Other .
<br />I have read and agree to the terms stated on the reverse side of
<br />
<br /> , TAX LOT: !~AfEeORY;
<br /> 90~,~1,S91 I RL,, IDE. N],[AL
<br />
<br /> :t, 16,~6 FALCON CT.... --~6'~?~ bi f~ j OCCUPANT COAl;):
<br /> AWRORA 01:~ 9'28~2 ' MARION COUNTY~ NO
<br />lUBE OF ~OIC~IN~: ?0 OF BEDROOMS:
<br />
<br /> CENTR IR'Y ~E' "
<br /> 2~ WAI..,KIN~ WOOD DR '
<br /> LAKE OSWEGO,, CR 978~5 ' SITE NUMBER:
<br />' PHONE:; 636'-'7918 VALUATION:
<br />
<br />:DEPTH[ i AREA: UN TS IRREG. LOT'. CORNER'.
<br />, 85, ¢100. St- , NO ,' NO
<br />
<br />TYPE: PLUMBING PERMIT OR APPLICATION
<br />CON fkAC~OR, /'ID,.
<br />GREEI% ,J 0 I.'-.':
<br />:?0 WALKING WOOD DR
<br />LAKE OSWE%0~ OR 978S5
<br />F'HONI~:
<br />
<br /> I T E M
<br />WATER I..II,IE~,¢ 1ST I~9 FEET
<br />WATE~ LINES., EA. ADI)I,, ~80 FEET
<br />P J~B~ g; BASE FFE .....
<br />PLUHbING STATE SURCHARGE
<br />
<br />PAYEE:
<br />
<br />45945
<br />
<br />TOTAL ASSESSED FEES
<br />THIS I~ 1""(:I.'--' I P T
<br />
<br />QUANT I '¥'Y Ai%]UI,IT
<br />:L $20. ~)J8
<br />1 $ ~.. !'-';,, ~0
<br />
<br /> $2,, 75
<br />
<br />.$57,. 75
<br />,$57.75
<br /> $0.00
<br />
<br />]~AL ANEI: DUE $0.00
<br />
<br />RECEII- f NO:
<br />
<br /> RE(.,E1V~.:0 BY: F'H ;. ........
<br /> ....................................................... ]Yi E,.' (,1"t~'(,I', :~" 0
<br /> .................................................. = = -::;;.:::= =,~ .......................................... l .... - .........................................
<br />* THIS IS A VALID PERMIT * THIs PERMI'T EXPIRES 188 DAYS FROM ITS ISSUE DATE. IF
<br />CONSTRUCTION CEASES FOR A PERIOD OF 18~ DAYS, OR iF CONSTRUCTION FALLS TO NEET ALL
<br />~QU'rRENENTS OF STATE LAWS AMI) HARION COUMTY BUILBING AND ZONING ORBINANCES THIS PER
<br /> ALL BECOME NULL AND VOIB. .~ ~IT
<br />
<br />REMARKS: WI,.,., Si,.
<br />
<br />DONALD E., W]~:D~ EY,~ MAI'::;~ON COUNTY BLIIL))ING OFFICIAL / BY
<br />
<br />~o~u * uo,s-~ ~v.~ OFF[CE COPY
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