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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLD'G. NO. 22,!5 <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 or occupy. <br /> Iarn a r ~e~istered builder OR the authoNzed representative <br /> of a ref {~tered builder. <br /> The work will be performed by a registered builder. <br /> Other ....... <br /> I h8vo ¢o¢4d ~nd agree to the terms stated on the reverse side of <br /> <br />DA'rE ~ 05/20/89 TIME: 2.'34:03p <br /> <br /> MUSIC, PATRICIA <br /> <br /> 5'72'1 VILLAGE VIEW CT SE <br />AUf*LSV I LLE OR 9?325 <br /> <br />USF OF SUILDING: <br /> <br /> cONSTRUCTION TYPE: <br /> <br /> CONTRACT CITY; i UGB: <br />M4RI.0~ 90~NTY i NO <br /> <br />SAME <br /> <br />PRONE; 58'1-8379 <br /> <br /> 2 <br /> <br />388 <br /> <br />CATEGORY: <br /> RES l DENT; AL. <br /> <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD: <br /> <br />VILLAGE VIEW <br /> <br /> SiTE NUIVE3 E R ,*. 5374 <br /> VALUATION: <br />SECTION: TOWNSHIP: RANGE: ZONE: <br /> <br /> 13 SS ~F] , AR3 <br /> AREA: UNITS: IRREG. LOTI CORNER: <br /> 73720.0 SF NO NO <br /> <br />MAP: <br /> <br /> 49 <br /> <br />TYPE: PLUMBING PERMIT OR APPLICATION NO: 83?2 <br /> <br />CONTRACTOR, <br />MUSIC, PATRIC~A <br />SAME <br /> <br />P~qON~: 581-8379 <br /> <br />MOBILE HOME SE~ER AND WATER CONNECTION <br />FLEET SURCHARGE -ZONE <br />PLUMBING ~AT~ ,SURCHARGE <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> 1 $25.00 <br /> $3,8,4 <br /> 1,25 <br /> <br />$30_09 <br />$~0.09 <br /> <br />$0.03 <br /> <br />PAYEE; RECEIPT <br />RECEIVED BY: pig ...................... : ~;; ......... TYPE: CHECK ~: <br />~ THIS IS A VALID PERNZT ~ THIS PERNIT ED(PZRF.~ 180 DAY~ PROW ITS IS.SUE DATE. <br />CONSTRUCTION CF_..A.SE:S FOR A PERIOD OF I~0DAYS, OR ZF C~$TRUCTION FAILS TO ~EET ALL <br />~EQUIREMENTS OF STATE LAJA~ AND MARIONCOUNTYSUILDiNGAND ZONING ORDINANCES. THIS PE~IT <br />SHALL BECOME NULL AND VOID. <br /> <br />REMARKS: CONN R1,9997 <br />0*ALD E..OOLEY. ,RI. COUNTY OFFICIAL ¢ <br /> <br />)RM" M('; 1!)'~I3 REV. 6~/07 OFFICE COPY <br /> <br /> <br />