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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PH(~N E 588~5147 <br /> CODE-A-PHONE 4:30 P.M. - 8;00 A.M. <br /> <br /> T <br />DATE: 05/05/88 <br />OWNER: <br /> ,SPARKS, BRAIN <br />SITUS ADDRESS: <br /> <br />CONS~OCTiONTYPE; OCCUPANCY: <br /> <br />RE$IDENTZAL <br /> <br /> 150 SANT[~~d~ AVE . CONTRACT CITY: . UG8: OCCUPANT LOAD: <br />DETROIT OR 97342 . DET~IT ..... I . NO <br /> <br />MAILING AODHESS: <br /> <br />1220 MONMOUTH <br />INDPENDNECE, OREGON 97351 <br />PHONE: <br /> <br />SU BOIVIBION: <br /> <br />sEcTION: <br /> <br /> AREA: <br /> 5250.00 <br /> <br /> 6 9 10 105 <br />WlDIH. DEPTH; <br /> 35 150 SF <br /> <br />SITE NUMBER: 4354 <br />VALUATION: <br />RANGE: ' ZONE: <br /> <br /> 5E ~ <br /> IRREG, LO/: : CORNERi <br /> NO NO <br /> <br />TYPE: NOSIEE HONE PERtvIIT OR APPLICATION NO; <br /> <br />CONTRACTOR, NO. <br />SPARKS, 8RAIN <br />1220 MONMOUTH <br />INDPENDNECE, OREGON 97351 <br /> <br /> I TEN <br />MO~ILE HONE FIRST NIDTH <br />FLEET ,SURCHARGE -ZONE 7 <br />MOBILE HOb4E STATE SURCHA~E <br /> <br />PAYEE: SPAR~S, BRAIN <br />RECEIVED BY: CL <br /> <br />9008321 <br /> <br />QUANTI1W AMOUNT <br /> 1 $35.00 <br /> ~8.96 <br /> <br />TOTAL A,,S~ESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$45.71 <br /> $0.00 <br />$45.71 <br /> <br />BALANCE DUE $0.00 <br /> <br />INVOICE NO: 8g?o <br />TYPE: IN CHECK ~: 0 <br /> <br />* ll-IIS IS NOT A PERNIT. THIS APPLICATIONNUSTG0;~ROUGH AREVIE~ PROCESS I~HERE THE <br />FOLLONINGI~UST BE CONPLETED. IT [STHE RE~PONSIBILITYOFTHEAPPLICANT TO ASSURETHAT <br />ALL NECEE~ INFOENATION HA.S BEEN PROVIDED. <br /> <br />SEPTIC. BY DATE <br />ZONING: BY BATE ........ SET~ACKS: FR-~__ LS-_ .......... RS-~ RR-_~_ <br /> <br />REr4ARKS: r, lH REPLACEMENT <br />PLANNING ACTION: <br /> <br />,~nM ,, M: ,~5~ ,~v ~/~-¢ OFFICE COPY <br /> <br /> <br />