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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 />lama registered builder OR( ) the authorized rel2resent~tive <br /> <br /> DATE:: 0'7/18/87 "~' ~ ME ]1 ;29~98a <br />OWNER: .... ~' ' <br /> <br />SITUS ADDRESS: <br /> <br /> =21';:-, ARN3T RD <br /> <br />9'7382 <br /> <br />NE: <br /> <br />USE OF BUILDING'. <br /> <br />~'IAR I ON ,~,.,UN TY i NC <br /> <br />MAILING AOORESS; <br /> <br />2q3~(:~ F,,¢.¢~,ARD CUT OFF ~-4.8 DYKE <br />-%:RORA OF, ; 7~u~ <br />,.N,, 878-.4 65E <br /> <br />LOT: : BLOCK: SECTION: <br /> <br />WIBTH: DEPTH: AREA; <br /> 10,3_ 008 <br /> <br /> SiTE NUiviBER; ! 738 <br /> VALUAT ~ ON; <br /> <br />! ~OWNSHIP; : RANGE: ; ZONE'. <br /> ] W EFU <br /> ~lTS; meRES] LOT; ~RNE~: <br /> AC : NO i <br /> <br />:'YPE: E~.E¢, R~L:,A~ i>ER~!i'T' OR APPL,~CAT[ON NO; <br /> <br />28!7 <br /> <br />CC)N'T RAC'TOR, NO_ <br />L[CENSE ',iQ: <br />SHANNON, DvlpL,,OYEB DYKE, GREG <br />2;356 HLJBSARO CUT OFF ~48 - <br />AURORA OR 9?802 <br />DHQNE: 878.~1S55 <br /> <br />SUPERVISING :L,~:C RI,..,AN/N,, IBE <br /> <br /> i T <br />r~OE'iL,,E HOME CONNEC-FiO~, <br />::L..<E,E? SURCHARGE-ZC)NE' 8 <br /> :' ;':-' ¢:t: ;;iA S ".,t..l E Si.; <br /> <br />OUANT I TY <br /> <br />A~vIOUN T <br /> $20.33 <br /> <br /> $ E::. 3 :] <br /> <br />:'AYE E: <br /> <br /> THiS IS A VALID PERt'lIT ~ THIS <br />CONSTJ:~JCTIQN CEASE~ FOR A <br />REQUiRENENTS OF STATE LAWS AND <br />EHALL SECOI~E NULL AND VOID_ <br /> <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$2;3_48 <br /> SC,Sc <br /> <br />DUE <br /> <br />FROM ITS IS,SUE BATE. iF <br /> FALLS TO MEET ALL <br /> ZONING ORDINANCE.2,. %H!S PERi, IT <br /> <br /> ~:.MAR '~ CONR <br /> <br />3ONALO E. NOODLEY. <br /> <br />OFFICE COPY <br /> <br /> <br />