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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 RM. - 8:00 A.M,
<br />
<br />owr,,?~ ;'; "-'"':: 39/1'1/89 TINE:
<br />
<br /> · ,.. C~-AF.,J ~, I%~,YSEL
<br />SI'~ US ADDRESS:
<br />
<br />3t32~29p
<br />
<br />TAX LOT;
<br />
<br />CONSTRUOTtON TYPE:
<br />
<br />AL. rVl,~, t ~-LE OR
<br />
<br />97:325
<br />
<br /> OON¥~ACT
<br />
<br />A~SVELL~
<br />
<br />UGB:
<br />
<br />MAILING ADDRESS: ......
<br />
<br />CATEGORY:
<br /> E,'E:, ~ ..,,._,x , ,.,. ,.
<br />OCCUPANCY:
<br />
<br />NO OF BEDROOMS:
<br />
<br /> PC SOX !(_'6
<br /> /'.C.~r',%Vi]L.L_E OR 97325
<br /> c>!..+ONE: 749-26'15
<br />
<br />LOT: BLOCK:
<br />
<br />SECTION: TOWNSHIP:
<br />AR~A: ~ UNITS:
<br />
<br />F~^N6V'a'LL'!ATE: - ! ON:
<br /> : ZONE:
<br />
<br />IRREG. LOT'. 2IAI CORNER:
<br />
<br />NEt NO
<br />
<br />MAP:
<br />
<br />'r"~ I:~E': L_EC,
<br />
<br />PERM;ET OR APPLICATION NO; 9019801
<br />
<br /> SUPERVISING E L EOT R ! C I: ,AN/i',!U~v~!~ E R
<br />
<br />"l^O ']R r,IORE NEW CIRCUITS;ALT OR E]4T
<br />'::',E;~7' SURCHARGE --ZONE 3
<br />2:...[](']'R.:",'-:A~, S~-ATE SURCHARGE
<br />
<br />OTAL ASSESSED
<br />PREVIOUS RECEIPTS
<br />THIS RECEIP~
<br />
<br />$30,03
<br />$ 3.8,:~
<br />
<br /> 8 AL_,AN(..; DU~ .......
<br />
<br />,...avE!z: F1AmA ~R~oCOTT
<br />RECEIVED E~Y; °5 - ~4~ .... " T~pE,~,,,,IN, C.H~C ~: 0
<br />....................................
<br /> * THIS IS NOT A PE~IT. ,,gH;~8 A~PglCATi~, ~S~',,'~,;~';A;,';R~IEW P~E~ ~ERE ~E T
<br /> FOLLOWING ~ST BE ~PLE%ED;?'~'I,%;,'IS THE," R~S.}'BIb~'pF:,THE ,APPLIC~T TO A~RE THA.
<br /> ALL NECE~ARY INFO~TI~
<br />
<br /> ¢~E~,RKS: ~. CfR
<br />
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