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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 ~88-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> I have read and agree to the terms stated on the reverse side of <br /> <br />DATE: 04/29/88 TIME: 11:31:173 <br /> <br /> COAKLEY, ROBNEY & HARIA <br /> <br /> 56055-000 <br /> <br />CONSTRUCTION TYPE <br /> <br /> 5?85 SHAW HHY <br />AuM~vI LLE <br /> <br />USE OF BUILDING: <br /> <br /> CONTRACT CITY' UGS <br />OR 9?325 <br />....................... MB~Ob..cQWNTY NO <br /> <br />MAILING ADDRESS: <br /> <br />SUBDIVISION: <br /> <br />185 CULVER LANE SO <br />SALEM 9?302 <br />PHONE: 362-6508 <br /> <br /> SITE NUMBER: <br /> VAL.UAT I ON _- <br /> <br />SECTION TOWNSHIP RANGE <br /> 6S <br />AREA; UN TS: RREG. LOT <br /> 4 . 90000 AC NC <br /> <br />;ATEGORY <br /> RESIDENTIAL <br /> <br />occgPANCY <br /> <br />OCCUPANT LOAD' <br /> <br />fl[ OF BEDROOMS: <br /> <br /> 3193 <br /> <br /> A~ <br /> <br />NO <br /> <br />TYPE: PLUM~ING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />COAKLEY, RODNEY & MARIA <br />185 CULVER LANE SO <br />SALEM 9?302 <br />PHONE: 262-6508 <br /> <br /> ITEM <br />MOBILE HOME SEWER AND WATER CONNECTION <br />PLUMBING BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />PAYEE: <br /> <br />7765 <br /> <br />QUANTITY ANOUNT <br /> 1 $25-00 <br /> $20.00 <br /> $3.64 <br /> $2.25 <br /> <br /> TOZALASSE;SSEDFEES $51_09 <br /> PREVlOUSRECEIPTS $51_0g <br /> THIS RECEIPT $0.00 <br /> B~LAN~EDUE $0-00 <br />' , RECEIPT NOs <br /> <br />RECEIVE0 BY: pb ': TYPE~ CHECK ~¢: <br /> THIS IS A VALID PEI~IT · THIS PERMI,%.EXPIR, ES 1,80 ,DAY~ FRON 1':T$ I,?~E DATE. IF <br />CON:b'T'f~CTION CEASES FOR A PERIOD OF 180".DAMS'; ;:OR TF:':'CONSTRUOTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND NARICN COUNTY 'BUILDING :AND ZCNING ORDINANCES, THIS PER~IT <br />SHALL BECONE NULL AND VOID. <br /> <br />REMARKS: CONN R~9649 <br /> <br /> WOODLEY. fv~ARION COUNTY BUILDING OEEZCIAL / BY ....... ~ ............ <br />DONALD <br /> E. <br /> <br />FORM" MC IG'~ R~V Bra7 OFFICE COPY <br /> <br /> <br />