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MARION COUNTY B~JILDING INSPECTION <br />SENATOR F~_DG. NO. 225 <br />220.~HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> <br /> DATE: 08/22/89 TIME: 10:58:29a <br /> <br />OWNER: ADAIR, RICHARD TAX LOT: <br /> <br />58272,~000 C^TEGOR¥: R.~..~ I 0EN'T'~¢ ' ' 1; 'L <br /> <br /> 9823 MILL CREEK RD <br />AUHSV I LLE <br /> <br />USE OF BUILDING: <br /> <br />MAILING ACDRESS: <br /> <br /> 9863 MILL CREEK RD SE <br /> AUNSVI LLE OR <br /> P- O', E: 749-2991 <br /> <br />OR 97328 <br /> <br />SE <br /> <br /> 30 8S <br />WIDTH: DEPTH: AREA: 5 . 50006IJNITS: AC <br /> <br /> CONS'I'RUGTION TYPE: OCCUPANCY: <br /> <br />CONTRACT CITy: UGB: OCCUPANT LOAD: <br />IVIAR :~ ON COUNTY NO <br /> <br /> NO Of- BEDROOMS <br /> <br />SUBDIVISION: <br /> <br />SITE NUMBER: 8179 <br />VALUATION: <br /> <br />IRREG LOT: NC CORN~H:NO <br /> <br />CONTRACTOR, NO. <br />ADAIR, RICHARD <br />9853 MILL CREEK RD SE <br />AUMSVILLE. OR <br />~ONE: 749-2991 <br /> <br /> ITEM <br />NOBILE HOME SEWER AND WATER CONNECTION <br />FLEET SURCHARGE -ZONE 3 <br />PLUMS lNG STATE SURCHARGE <br /> <br /> TOTAL ASSESSED FEES <br />,;:;¢REV,IOUs RECEIPTS <br /> THIS RECEIPT <br /> <br />QUANTZ TV AMOUNT <br /> '~ $25.00 <br /> $3,84 <br /> $ '!. ;! 8 <br /> <br />$30.09 <br /> $0. Do <br />$89,09 <br /> <br />BALANCE DUE $0,00 <br /> <br />PAYEE: ADAIR, RICHARD RECEIPT NO: 19434 <br />RECEIVED BY: ~] q~'fPE: CK CHECK ~: c~oj.., <br />* THIS IS NOT A PER~ZT. THIS APPLICATION NIJsT;GO THI;~3U6H A REVIEIN p~ ~-'~ <br />FOLL~ZNG ~ST BE ~PL~ED. ZT [S ~E RES~SZBZL[~ OF ~E APPLZC~T TO ~RE THAT <br />ALL N~A~ INFO~TI~ H~ BE~ P~VIDED: <br /> <br />PLAN REVIEW: BY ........... DATE , <br />REMARKS: NH CON R~??'I5 <br /> <br />CITY JURISDICTION: BY ......... DATE ......... <br /> <br />FORM # MC ,556 REV ~1/88 OFFiC[ COPY <br /> <br /> <br />