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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 PM - 8,00 AM <br /> <br />SIGNATURE OF APPLICANT <br /> <br />DATE <br /> <br />o~..- 03/08/89 TIME: <br /> DAN I ELSON, EV~ <br /> <br />15393~211 <br /> <br />RESIDENTIAL <br /> <br /> 9803 FRIENDLY ACRES <br />AUNSVILLE OR <br /> <br />97325 <br /> <br />SE <br /> <br /> OONTRACT CITY UGG <br />MARION COUNTY NO <br /> <br />SUBDIVISION <br /> <br />39394 BROCK DR. <br />SOLO, OR 9?3?4 <br />PHONE: 394-2379 <br /> <br />5.00000 <br /> <br /> SITE NUMBER. <br /> VALUATION <br /> RANGE <br /> <br />8S <br />AC NO <br /> <br /> 6685 <br />ZONE <br /> <br /> AR5 <br /> NO <br /> <br />TYPE: PLUr'~ING <br /> <br />~OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />DANIEL,SON, EVAN <br />39394 8ROCK DR. <br />,SO10, OR 97374 <br />PHONEs 394-23?9 <br /> <br /> ITEN <br />WATER LINES, 15T 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />~ILE NOME SE1NER AND WATER (XDNN~CTION <br />FLEET SURCHAF~E -Z~E 3 <br />P~ ING STATE <br /> <br />'PAYEE= DANIEI,,,.SON, EVAN <br />RECEIVED BY: pr <br /> <br />~ (~4376 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY ANOUNT <br />1 $20.00 <br />1 $30.00 <br />1 $25.00 <br /> ~3.84 <br /> 3.75 <br /> <br /> TYPE: OK CHECK ~: <br /> <br />THIS PF-~IT EXPIRES 180 DAYS FRON ITS I~k.~UE DATE. <br /> <br />$82.59 <br /> $o.o0 <br />$82.59 <br /> <br />$0.00 <br /> <br />RECEIPT NO= 15249 <br /> <br />IF <br /> <br />CONBik~JCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAIL~ TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND NAR[ON COJNTY BUILDING AND ZONING ORDINANCES, THIS PEI~4IT <br />SHALL BECONE NULL ANO VOID. <br /> <br />RED~IARY~ ~ SERV/CONN IOOFT W/S LINES F~5634 <br />DONALD E+ NOODLEY, MARION COJNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC I~ F~FV llI'~ OFFICE COPY <br /> <br /> <br />