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