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MARION COUNTY,~BUILDING INSPECTION <br />SENATOR 8LEG,, NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::$0 PM.. - 8'00 AM <br /> <br />I am performing work on a property I own or occupy <br />I am a registered builder OR t I the authoNzed ropresentative <br />of a registered builder <br />The work ~ill bo performed by a registered builder <br />Other .,, ' <br /> <br />Do~ ~: 0:3/20/89 TIME; <br /> DANIELSON, EVAN <br /> <br />11:12:28a <br /> <br />~XLOY <br /> 15398-211 <br />CONSTRUCTION TYPE <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />RESIDENTIAL <br /> <br /> 9808 FRIENDLY ACRES <br />AUMSVILLE OR <br /> <br />USE OF BUILDING <br /> <br />9?325 <br /> <br />SE <br /> <br /> CONTRACT CITY UGB <br />MAR~ON COUNTY NO <br /> <br />SUBDIVLSION <br /> <br />39394 8ROCK OR. <br />SCIO, OR 9?3?4 <br />PHONE~ 394-23?9 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br /> 19 <br /> <br /> 5.00000 <br /> <br /> SITE NUMBER.· <br /> VALUAT I ON: <br /> RANGE <br /> <br />8S <br />AC NO <br /> <br /> $685 <br /> <br />ZONE <br /> <br /> AR5 <br />CORNER <br /> <br /> NO <br /> <br />MAP <br /> <br />TYPE: PLUMBING <br /> <br />CONTRACTOR, NO. <br />DANIELSON, EVAN <br />89394 8R~OK DR. <br />SCIO, OR 97374 <br />PHONE~ 394-23?9 <br /> <br />PERMIT OR APPLICATION NO: <br /> <br /> ITEM <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />MOBILE HC)ME SEWER AND HATER CONNECTION <br />FLEET SURCHARGE ~ZONE 8 <br />PLUMBING STATE SURCHARGE <br /> <br />PAYEE: <br /> <br />14376 <br /> <br />TOTAL ASSESSEB FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br />1 $20.00 <br />1 $30.00 <br />1 $25.00 <br /> $3.84 <br /> $3,75 <br /> <br />$82,59 <br />$82..59 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIPT NO: <br /> <br />RECEIVED BY: mr TYPE; CHECK ~: <br /> <br />* THIS IS A VALID PER~IT $ THIS PEF~IT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQI. I[RENENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PER,lIT <br />SHALL B~E NULL ANDVOID. <br /> <br />REMARKS: MH SERV/CONN 100F'T W/S LINES R~5534 f/~C'~ <br />OONAL[) E, WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY~~ .............. <br /> <br />FOI:iM~MC15-56 RE',/ ~'88 OFFIC~ COPY <br /> <br /> <br />