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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 P M.- 8::00 A.M <br /> <br />SIGNATURE OF APPLICAN] <br /> <br /> OATE <br /> <br />~: 12/04/89 <br /> <br />s, lus ^os~BAN, TOM <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYP~8040-320 <br /> <br />CAT ,F.~ORY <br /> <br />OCCU~ANC~ RESIDENTIAL <br /> <br />855 8TH <br />AUF~VILLE OR 97325 <br />USE O¢ SSIL, DJNG <br /> <br /> CONTRACT CITY UGB <br /> <br />AUFLSVILLE NO <br /> <br />OCCUPANT LOAD <br /> <br />SUBDIVISION <br /> <br /> PO 8OX 195 <br /> SUBLI~4ITY OR 97385 <br /> PHONE: 769-7364 <br />LOT ~LOCK <br /> <br />SECTION TOWNSHIP <br /> <br /> DE[J~R I I I <br /> <br />SITE NURSER: <br />n~(~c~JATI ON: ZONE <br /> <br />8926 <br /> <br />MAP <br /> <br />WIDTH"~ 9 DEPTH 5 AREA <br /> 75 100 <br /> <br />25 UNITS 8S IRREG LoT~W CORNEn ~ <br />7500. ~,F Ng NO <br /> <br />51 <br /> <br />TYPE: PLUF¢31NG <br /> <br />PEP,~IIT OR APPLICATION NO: 20464 <br /> <br />CONTRACTOR, NO. 44551 <br />D~AIN BETHEL & SONS EXC <br />P.O. BOX 5O4 <br />TURNER OR 9?392 <br />PHONE: 743-2343 <br /> <br /> IT~ <br />WATER LINES, 1ST 100 FEET <br />SEWER LINES, 1ST 100 FEET <br />FLEET SURCHARGE -ZONE 3 <br />PLUMING STATE SURCHARGE <br /> <br />TOTAL ASSEE~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AJ~OUNT <br />1 $20.00 <br />1 $30.00 <br /> $3~84 <br /> $2.5o <br /> <br />~56.34 <br /> 56.34 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: INVOICE NO: <br /> <br /> RECEIVED BY: PB TYPE: CHECK ~: 0 <br /> <br /> · THIS IS A VALID PEEffiIT * THIS PERMIT EXPIRES 160 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />~R~ALIRE~E~TS OF STATE LAWS AND ~ARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PER~IT <br /> L BECOffiE NULL AND VOID. <br /> <br />RF-J4ARKS: WATER/SEWER LINES <br /> <br />DONALD E. NOODLEY, h4ARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />