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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 8::00 - 4::30 <br />24 HOUR CODE-A-?HONE:: 588-7904 <br /> <br />TAX LOT CATEGORY <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br />Rb~i DEN I IAL <br /> <br /> ?498 5H~kRNAN R0 SE <br />AUfCLSV i LLE OR 9'~3~5 <br /> <br />USE OF BUILDING <br /> <br />CONTRACT CITY LJG8 OCCUPANT LOAD <br />1~4ARiON CW. jLiN[Y i NO <br /> <br />4013 S.CALAROGA CT <br />V¢~I LINN, OR 9','058 <br />PHONE: 635~2638 <br /> <br />EOT BLOCK <br /> <br /> 28 8S <br />13.84 AC <br /> <br />Sll P NLllVlBER.. 11427 <br />VALUA f' ,[ON; <br /> <br /> lW ~FU <br /> NO NO <br /> <br />MAp <br /> <br />lYRE: PLUIN~iNG <br /> <br />P~RI'411 OR ARPL, iCAIlON NO: 9027,901 <br /> <br />Cf2N FRAC FOR, NO. <br />R"OCKNEY, I~ERION G- <br />4-013 5.CALAPiY~A CT <br />WESI LINN, OR 97058 <br />PHONE; 635~263FJ <br /> <br /> i f EM <br />WAFER L,(NES, <br /> <br />~408iLE HO~4E SEWER AND WAFER ~¢~NECfI~ <br />~L~E] ~RCHA~E <br />PLUMING 5FARE SU~HA~E <br /> <br />QUAN ~ i ~Y AMO'JN I <br />1 $20.00 <br />1 $30. mo <br />1 $25.00 <br /> $3_84 <br /> <br />IO'TAL A~SSET>SED FEES <br />PRE~/i OUS RECEIPrS <br />FHi5 RECEi Pl <br /> <br /> $o_oo <br />$82.59 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: ROCKNEY, 1'4ARK RECEIPT NO: 29493 <br />RECEIVED ~Y: PR TYPE: CK CHECK ~: <br /> <br />* THIS 15 NOIA PER, IT. THI~ APPLICATION I~UST GO THROIJGH A REVIpJAI PROO~S.S ~/HERE THE <br />FOLLOWING f~U~F BE CO~IPLETED+ IT IS THE RESPONSIBiLiTY OF THE APPLIOANr FO ASSURE THAT <br />ALL NECE~SSARY IN~OI~'AATION HAS BEEN PROVIDED. <br /> <br />;:>LAN NE¥IEW: NY ...... OA¥~ ............. <br /> <br />R)£I'4ARKS: W/$ CONN, W/S LN5 1ST 300 FI R~3338 <br /> <br />CZ'fY JURI$OICFiO~'N: ~JY ....... Eiz,"*¥E <br /> <br />OFFICE COPY <br /> <br /> <br />