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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9'2'301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 A M <br /> <br />ow~TE; 08/81/89 TIME: <br /> <br /> OLSON. RODER[C <br />SITUS ~DDRESS <br /> <br /> 880 M,TCHAEL WAY <br />~IJMSVI LLE <br /> <br />OR 97325 <br /> <br /> CONTRACT criY <br /> <br />AUMSVT LLE <br /> <br />UGB <br /> <br />OCCUP~,NT LOAD <br /> <br />RES I DEN T; A L <br /> <br />SUBDIVISION <br /> <br />4833 JUNIPER CT N <br />KEIZER OR 97303 <br />PHONE: 393-~0769 <br /> <br />NO NO OF' BEDF~OOM'~ <br /> <br />?930 <br /> <br />WIDTH <br /> <br /> PARCEL, <br /> <br /> SITE NUMBER: <br />~ANc~ALUATI~N:zoNE <br /> <br /> D£PTH AREA 25 uNrrs 89 IRREGLOT 2N CORNER RS <br /> <br />75 190 14250.0 SF NO NO <br /> <br />MAP <br /> <br /> 5' <br /> <br />TYPE: PLUMBING <br /> <br />CONTRACTOR, NO, 312 <br />EMERY & SONS CONST. <br />PO BOX 398 <br />STAYTON ORE 9?393 <br />PHONE; ~69-7751 <br /> <br />MATER LINE.S, 1ST 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />FLEET SUROHARGE -ZONE 3 <br />PLUMBING STATE SURCHARGE <br /> <br />PERMIT OR APPLICATIQN NO: <br /> <br />17715 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />OUANI-I TY ~NOUNT <br /> <br /> SS_S4 <br /> $2.50 <br /> <br />$58-3~ <br />$56_34 <br /> $0.00 <br /> <br />8~*LANCE DUE $0_ O0 <br /> <br />INVOICE NO: <br /> <br /> ECE[VED BY: P8 ----_ ..... TYPE: CHECK tO; <br /> <br /> THIS IS A VALID PEI:~'~IIT * THIS PER~1i~T EXPIRES 180 ~YS F~ ITS I~E ~TE_ IF <br />C~ST~CTI~ C~ES FOR A PERIOD OF 180 ~, OR [F ~ST~CT[~ FAI~ TO ~E~ ALL <br />REdIReCTS OF STATE ~ AND ~RI~ ~NTY BUILDING ~D Z~ZNG ORDIN~C~, ~IS PE~IT <br />~ALL BEdE NULL ~O VOID. ~ <br /> <br />REMARKS,,, WATER/SEWER LINES /¢¢~ '~ <br />0ONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ...... _~¢~'__L .................. <br /> y <br /> <br /> <br />