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MARION COUN. TY Bt~ILDING INSPECTION <br /> SENATOR BLDG NO, 225 <br /> ,~ 220 U. IGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4 30 PM - 8::00 A M <br /> <br />I am performing work on a proporty I own or occupy <br />I am a registered builder OR ( the authoNzed representative <br />of a registered bu do <br />Tile ¢~ork w~ll be performed by a registered builder <br /> <br />owN'.'.'.'.'.'.'.'.'.~ATE: 04/08/69 TIME: 12:06:10p <br /> <br /> FO~N, RAYMOND & PATRICIA <br /> <br />CONSTRUCTION TYPE <br /> <br />C&TEGORY <br /> <br />OCCUPANCY <br /> <br />RESIDENTIAL <br /> <br /> 1 ] 872 <br /> AURORA <br />UgF O~- BUILDING <br /> <br />WARBLER LANE <br /> <br />OR 97002 <br /> <br />NE <br /> <br />MARION COUNTY NO <br /> <br />OCCUPAH I LOAD <br /> <br /> NO OF BEDROOMS <br /> <br />SUBDivISION <br /> <br /> 20145 NE SANDY <br /> TROUTDALE, OR 97060 <br /> PHONE: 865-5539 <br />I OT BLOCK <br /> <br />SECTION 'OWNEHIP <br /> <br /> CENTURY MEADOWS 4TH ADD <br /> <br />SITE NURBER: 6902 <br />~ANGyALUATION:zoNE MAP <br /> <br />WIDTH 7 DEPTH 19 AREA 33 UNITS 3S IRRE6 LOT qW COF~NEH AR 3~ <br /> <br />NO NO <br /> <br />TYPE: PI,.UF~ING <br /> <br />PERNIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />FORSK)N, RA. yIVlOND & PATRICiA <br />20145 NE SANDY ~51 <br />TROUTDALE, OR 9?060 <br />PHONE: 665-5539 <br /> <br /> ITEM <br />MOBILE HOME SEWER AND WATER CONNECTION <br />FLEET ~JRCRARGE -ZONE 5 <br />PLUMBING STATE SURCHARGE <br /> <br />9014993 <br /> <br />QUANTITY AIvIOUNT <br /> 1 $25,00 <br /> $?.68 <br /> $1.25 <br /> <br />TOTAL 4,SSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$33-93 <br /> $0,00 <br />$33.93 <br /> <br />BALANCE DUE $0.00 <br /> <br />P4YEE: ADMIRAL MOI~.~L_E HOMES/IRENE STEVENS RECEIPT NO: 15922 <br />RECEIVED BY: PR _~_ TYPE; OK CHECK ~: <br />* THIS IS NOT A PE~4IT. THIS APPLICATION /¢LIST GO:THROUCH A ,REVIEW PRO~E~ ~HEP, E THE <br />FOLLONING RUST BE CQIvlPLETED. IT IS THE RESPONSIBILITY OF, THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORIVlATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: 8Y DATE <br /> <br />REIvLARKS: W/S CONN MH R~7232 <br /> <br />CITY JURISDICTION: BY ......... DATE <br /> <br />~o~/, u¢ ~.-se nE',, ,~,~ OFFICE COPY <br /> <br /> <br />