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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 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8;00 A.M. <br /> <br />I am performing work on a property I own o¢ occupy, <br />I am a registered builder OR ) the authori;~ed representative <br />of a registered builder. <br />The work will be performed by a registered builder, <br />Other <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE: <br /> <br />0t/03/90 TIMEs 9:15:38 <br /> <br />TAX LOT <br /> <br /> FULL GOSPEL TABERNACLE <br />,~ITUS ADDRESS <br /> <br />CONSTRUCTION TYPE: <br /> <br /> 10153 MiLL CREEK RD <br />AUMSVILLE OR 97325 <br />USE OF BL LDfNG: ................... <br /> <br />SE <br /> <br /> CONTRACT CITY <br /> <br />MARION" COUNTY <br /> <br /> CATEGORY <br /> <br /> RESIDENTIAL, <br /> <br /> OCCUPANT LOAD <br /> <br />NO NO 0¢ BEDROOMS <br /> <br />MAILING ADDRESS: ------ <br /> <br />SUBDIVISION <br /> <br />NH.~TE ROCK ADDN <br /> <br />PHONE.- 749-1279 <br /> <br /> BLOCK <br /> <br />SECTION TOWNSHI¢' <br /> <br />SITE NUMBER: 9045 <br />VALUATION; <br />RANGE ZONE <br /> <br />MAP' <br /> <br /> 31 <br />WIDTN' 3£PTH AREA; UNITS' <br /> <br /> 1. 50999999 AC <br /> <br />RRSG LOTt1~ CORNER: <br /> YES ~O <br /> <br />TYPE: PLUMBING PERMIT OR APPLICATION <br /> <br />CONTRACTOR, NO. <br />PULL GOSPEL TABERNACLE <br /> <br />20797 <br /> <br />PHONE.- 749-1279 <br /> <br /> ITEH <br />1~)SILE HONE SEINER AND WATER CONNECTION <br />FLEET ,5~JRCHAR'GE -ZONE 2 <br />PLUMBING STATE EJJRCHAR~E <br /> <br />QUANTITY AMOUNT <br /> t $25.00 <br /> $3.84 <br /> $1,25 <br /> <br />TOTAL ASSESSEDFEES <br /> PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$30.09 <br />$30.09 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: RECEIPT NO: <br /> RECEIVED BY: Pb TYPE: CHECK ~: O <br /> <br />* THIS IS A VALID PEI~IT z THIS PERt4IT ;EX~IRE8 180 DAYS FROM ITS ISSUE DATE. IF <br /> <br />CONSTRUCTION cEASES FOR A PERIOD OF :tBO DAYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br />Si.R~AE~LALIRE~ENTS OF STATE LAirS ANDFiARION COUNTY BUILDING ANDZONING ORDINANCES. THIS PERMIT <br /> L BECOME NULL AND VOID. <br /> <br />RE~4ARK~: MH <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / 8Y <br /> <br />FDHM It Mb l:, !;'~ HFV ~/"7 OFFICE COPY <br /> <br /> <br />