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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: 58B-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE" 588-7904 <br /> <br />Othor_ <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />OCCUFANO'F <br /> <br />RESiOEN ~ L/'L, <br /> <br /> 11688 WARBLP....R LANE <br /> AURORA <br /> <br />USB OF BUILDING <br /> <br />OR 9?002 <br /> <br />CONTRACT CITY UGB <br />MAR TON COUN l Y NO <br /> <br />'OCCUPANT LOAD <br /> <br />AL 5CHMiDHAMER - AGEJN~' <br />PO I,¢OX 6859? OAK GROVE, <br />PHON~ ' <br /> <br />LOT <br /> <br />WIDTH <br /> <br /> BLOCK <br /> <br />10 19 <br /> '/0 1 O"f <br /> <br />654-41 '/9 <br />ORE 9'7268 <br /> <br />3S <br /> <br />51 ¥ E NUIVlt~gR; 'fO89 <br />VALUA] t ON ~ <br />RANG~ ZONE M,~,P <br /> <br />IRREG LOT CORNER <br /> Y~ NO <br /> <br />f YP,P,,· PLUNb~i~,IG <br /> <br />PERMII OR APPLICATION NO: <br /> <br />CON1RACIOR, NO. <br />L.ANKP'rORO, ~30~1 R, <br />AL $(¢HMiL~flAMER ~ A(.CP.-.N~ <br />pr.) BO)< ~859f OAK GROVP_._, <br /> <br />ORK 9?2 <br /> <br /> ITEM <br />MOIJlLE HOME ~ENER .4¢4D WA[ER CONN~CFiON <br />PLUmBiNG 5[A~ 5URCHAR%~ <br /> <br />9034142 <br /> <br />TOTAL ASSESSED FE~5 <br />PREVIOUS RECEIPTS <br />~Hi5 RECEiP~ <br /> <br />QUANTifY ANIOUNr <br /> } $25.00 <br /> $~,,Z5 <br /> <br />$2b,25 <br /> <br /> $0.00 <br /> <br />BALANCE DUE $26.25 <br /> <br />· PAZ~E: , ~ ~ REC~iP[ NO. <br /> <br /> * THIS IS NOT A PEF~4IT. THIS APPLICATION ~4UST GO THROU~H A REVIEI~ PROC~ ~ERE THE <br /> FOL~ING ~5T BE ~PLETED. IT iS THE R~SIBILiTY OF ~E APPLIC~T TO~ THAT <br /> ALL NEC~ INFO~Ti~ H~ 8E~ P~ViDED, <br /> <br />PLAN REVI~W: BY <br />REMARKS: CONN <br /> <br />DA'IE ................. <br /> <br />CiTY JURISOiC'f'iON: 8Y DAlE <br /> <br />FORM ~/MC 15-5~ REV 4/90 OF FlOE COPY <br /> <br /> <br />