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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 />('"~DE-~Ir~HONE 430 PM - 8::00 A M <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />owr2rC~TE: 07/19/89 TIME: <br /> <br /> WALLACE, MINNET <br /> <br />12:47:54p <br /> <br /> LOT <br />CONSTRUCTION TYPE <br /> <br /> 9393 ¢::ORTER RD <br />AUNSVILLE <br /> <br />OR 97325 <br /> <br />SE <br /> <br /> ¢ONTRA¢¥ CITY <br /> <br />MARION COUNTY <br /> <br />UGB <br /> <br />SUBDIVISION <br /> <br />NO <br /> <br />RESIDENTIAL <br /> <br /> SAJ'4E <br /> PHONE: 749-2643 <br />LOT BLOCK <br /> <br />5.00000 <br /> <br />9S <br /> <br />AC <br /> <br />SITE NUMBER: 7471 <br />~,NG~/ALUATION .- ZONe <br /> <br />LOT 2W GORNER E~U <br /> NO NO <br /> <br />MAP <br /> <br />TYPE: PLUMBING <br /> <br />PEPJflIT OR APPLICATION NOt <br /> <br />CONTRACTOR, NO. <br />WALLACE, MINNET <br />SA~E <br /> <br />PHONE: ?49-2643 <br /> <br /> ITEM <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES, 15T 100 FEET <br />MO~ILE HOME SEWER AND WATER CONNECTION <br />FLEET SURCHARGE -ZONE S <br />PLUMBING STATE SURCHARGE <br /> <br />16406 <br /> <br />$20.00 <br />$30.00 ¢ ¢.,¢~:, <br /> <br /> $5.40 &. go <br /> $3.?5 <br />$85'15lq <br />$85.15 <br /> $o.oo <br /> <br /> $o.oo <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED 8Y: P8 TYPEs CHECK <br /> <br />* THIS IS A VALID PERMIT ~ <br /> <br /> THIS PERMIT EXPIRES 180 DAY~ FROM ITS ISSUE DATE. IF <br /> FOR P O 18 , O T <br />SHALL 8ECX:~E NULL AND VOID. <br /> <br />RF_JvlARKS: MH CON, SL, WL R'~tT0g2 <br /> <br />DONALD E. ~EYODLEY, [VtARION COUNTY BUILDING OFFICIAL / 8Y <br /> <br />FORM~MO~SS6 REV 11,8~ OFFKSE COPY <br /> <br /> <br />