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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 688-5147 <br />CODE-A-PHONE 4 30 PM - 8 00 AM <br /> <br />I am performing work on a property I own or occupy <br />I afTI a registered builder OR f the authonzed representative <br />of a registered builder <br />The work wdl be performed by a re§istered builder <br />Other ........ <br />I have read and agree to the terms stated on the reverie ~-d~'of <br />fhis document <br /> <br />owNBATE: 08/14/89 TIME: <br /> <br /> HENDRICKS, WILLIAM <br /> <br />8=22:31a <br /> <br />TAX LQT <br /> <br />CONS¥~UOT'ION <br /> <br /> 11769 STEIN}C-,AMP RD <br /> AUMSVILLE <br />U~E OF BUILDING <br /> <br />OR 97325 <br /> <br />SE <br /> <br /> CONTRACT CITY <br /> <br />MARION COUNTY <br /> <br />UGB <br /> <br />NO <br /> <br />RESIDENTIAL. <br /> <br /> ~2238 .~JBLIMITY ROAD SE <br /> ,?-~JBLIMITY, OR 97385 <br /> PHONE: 769-6243 <br />LOT BLOCK SECTIQN <br /> <br />WIDTH DEPTH &REA <br /> <br /> TOWNSHIP <br /> <br /> 28 UNITS 8S <br />2. 50000 ,~C <br /> <br />SITE NUMBER; 6784, <br />R^NoEVALUAT I ON _- ZONE <br /> <br />IRREG LOT 1W CO~NE*'~ AR 48 <br /> NO NO <br /> <br />TYPE; PLUMBING PERMIT OR APPLICATION NO: 17777 <br /> <br />CONTRACTOR, NO. <br />14ENDRICKS, WILLIAM <br />12238 SUBLIMITY ROAD SE <br />SUBLIMITY, OR 9?385 <br />PHONE: 769~-6243 <br /> <br /> ITEM <br />~ATER LINES IST 100 FEET <br />~OBILE HOME SEWER AND WATER CONNECTION <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />(~UANTITY AMOUNT <br />~ $20.0o <br />1 $25-00 <br /> $3.8~ <br /> $2,25 <br /> <br />$51.09 <br /> <br /> $0_00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: Cl TYPE= CHECK <br /> <br />~ THIS IS A VALID PEr.lIT * THIS PEEMIT EXPIRES 180 DAYS FROM ITS IEL%~E DATE. IF <br />CONSTRUCTION CEASE~ FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAIL~ TO MEET ALL <br />REQUIRE~,IENTS OF STATE LAWS AND r,IARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERFIIT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: CONN <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ........................_~-.~ <br /> <br />OFFICE COPY <br /> <br /> <br />