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MARION COUNTY BUILDING <br /> SENATOR BLDG, NO, 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> · PHONE 588-$147 <br />CODE-A-PHONE 4:30 RM, · 8:00 A,M, <br /> <br />Other .... <br /> <br />OWNER:' L. 097! <br /> <br />Tt~E: 9:01;0Sa <br /> <br />9008 ! -00 ~ <br /> <br /> CONTRACT OITY: <br /> <br />AU,~4SV' ~ ~LE <br /> <br />NO <br /> <br />GI LDO~i ~2 <br /> <br /> VALUAT ION: <br />RANGE: ZONE: <br /> <br />MAP: <br /> <br /> I <br /> <br />70 '! 0:3 <br /> <br />~ IRREG. tOT; ~IN CO aNb_l-l: <br />SF YES ?,.0 <br /> <br />RS 5 '! <br /> <br /> PLUNIEIrr',G PERC4!T OR APPLICAT.~Oh, I <br /> <br />S'T'AYT¢¢I~ Oq6 9?383 '~59 "' 77 S 'l <br /> <br /> LINES, !51 100 ~'EET <br /> L~N~S, ~ST 100 FEET <br />PLUF~NG E'ASE FEE <br /> SURCNARGE -ZONE 3 <br />PLU?tE:ING STA-E SURCHARGE <br /> <br />TOTAL ASSESSEQ FEES <br />PREVIOUS RECEIPTS <br /> <br />2 ! ~N"i" ?TM AMCAINT <br />' $20. CO <br />~ $39. (JO <br /> $20, OC <br /> $3.8¢, <br /> <br />~77.34 <br /> <br />S,AL~,NCf: DLIE $0. ?;,:,' <br /> <br />iNVOiCE NO: <br /> <br /> REC:IVEt-; ~v: ~¢ TYPE: O-,:,,"CK <br />................................................................. %"--,,--.'""' - ,--~--"~ ,-- .... '--,--------~"7~----, ,-'--%,-r ~,-- ....................................... <br /> '* TH¥S IS A VALIO PERMIT ~ THIS PEF~IT EXPIRES 180 <br /> CONSTRUCTION C~ASES FOR A-PEB,IOD O,F ,,~ SD :DAY$,. ,,OR IF' CONSTRUCTION FALLS T?, NEET ALL <br /> REQUIREf45NTS OF STATE LAWS AND~,,R'ION COUNTY BUTt;DING'AND ?0HING ORDINANCES, THIS PERNIT <br /> ,SHALL 8ECOf4E NULL AND VOID'. '>,,,7 , ',,, , ,,. ,' ' <br /> <br /> R~M,,C, RK~'~: ~ATER/SENER LINES , ' <br /> <br /> :]Oh(aL'} -':.., NOO")LS¥. ('4AR'[('}N COUNTY 8LI~, _OING OFFICIAL / BY <br /> <br /> <br />