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MARION COUNTY BU!.LDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4;30 P.M. - 8:00 A.M. <br /> <br />I am pe!~orming work on a property I own or occupy, <br />I am a registered builder OR the authorized representative <br /> of a registered builder, <br />The work will be performed by a reglstered builder. <br />Other <br /> <br /> DATE: 11/03/89 'rIME= 11=14,:00,~ <br /> HUTCH ISON, WALTER <br />S~TUS ADDRESS: <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE: <br /> <br />, TAX ~OT: <br /> <br /> CONSTRuctION TYPE; <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />RESIDENTIAL_ <br /> <br /> 13751 WISTERIA DR NE : <br /> CONTRACT CITY: UGB; <br /> AURORA OR 9?002 <br /> : N.O <br />USE OF ~0iL'DING: <br /> <br />OCCUPANT LOAD: <br /> <br /> NO 0~ 5EDROOMS <br /> <br />MAILING ADDRESS: SUBDIVISION: <br />DEER CREEK ESTATES <br /> <br /> PHONE: 268-8361 SITE NUMBER: 8685 <br /> VALUAT I ON .* <br />LOT: BLOCK: SECTION: :~owNSH ib : RANGE':' ;~ZONE; <br /> 6 3 <br />WIDTH: DEPTH; AREA; UNITS: IRREG. LOT: : CORNER; <br /> NO NO <br /> <br />TYPE: PLUNSING PERNIT OR APPLICATION NO.- 19863 <br /> <br />CONTRACTOR, NO. <br />HUTCH ISON, WALTER <br /> <br />PHONE: 266-8361 <br /> <br /> ITEM <br />M08ILE HONE SEWER AND HATER CONNECTION <br />FLEET SURCHARGE -ZONE 6 <br />PLUNBING STATE SURCHARGE <br /> <br />QUANTITY A~0UNT <br /> 1 $25.00 <br /> 7-68 <br /> 1.25 <br /> <br />TOTAL ASSESSED FEES <br />PRE~IOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$33.93 <br />$33.93 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: pr TYPE: CHECK ~: <br /> <br />* THIS [$ A VALID PERNIT * THiS PER,lIT EXPIRES 180 DAYS FRC~1 ITS IS,gJE DATE. IF <br />CON~'TRUCTION C~ES ~R A ~IOO OF 180 ~, ~ IF ~E~CT[~ FAI~ TO ~E~ ALL <br />E~I~8 OF STATE ~ ~D ~RI~ ~N~ BUILDING ~D Z~ING ORDI~C~, ~IS PE~IT <br />~ALL 8~E NULL ~D ~ID. <br /> <br />RE]v[ARKS: H/S OONN R~6488 <br /> <br />DONALD E. NOODLEY, IVC. RION COUNTY BUILDING OFFICIAL <br /> <br />~'¢,~ ,~ M<; ~, r,,, .~v e/87 OFFICE COPY <br /> <br /> <br />