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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />DA'r~: 03/08/91 <br /> <br /> PHONE:: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />111',1E: 10:00:56 <br /> <br />OWNER HAFFIgLD, s'rEVEN <br /> <br />DATE <br /> <br />TAX LOT CAT~GORY R~IBEN1 1AL <br /> <br />SITUS ADDRESS <br /> <br /> 7932 TERP.,N~CE LANE <br /> I URNER <br /> <br />USE OF BUILDING <br /> <br /> 2269 ~ALE~4 DALLAS HWY <br /> SALEIVl OR 97904 <br /> PHONE: 362-6~35 <br /> <br />OR 97392 <br /> <br />t O} BLOCS SECTION TOWNSHIP <br /> 26 <br /> <br />WIDTH 92 DEPfH 230 AREA '~ 8888 * UNITS <br /> <br /> CONSTRUCTION TYPE OCCUPANCY <br /> <br />CONTRACT CITY UG8 OCCUPANT LOAD <br />~,AR i ON COUNTY NO <br /> <br /> NO OF BEDROOMS <br /> <br />t:;Lu, zfo <br /> <br />SiTE NURSER: ~ <br /> VALUATION= <br /> <br /> RANGE ZONE MAp <br /> <br /> AR 51 <br /> <br />6F ,RREG LOT NO CORN~O <br /> <br />TYPE: PLUre, BING <br /> <br />PERtflJT OR APPLICATiON NO: <br /> <br />CONrRAC'fOR, NO. <br />HAYFIELD, STEVE~, <br />2289 8ALP, gvl OALLAS H~Y <br />EC. LEI~I OR 97304 <br />~E~ 362-6335 <br /> <br /> 1TE84 <br />~ATER LINE~, l~'r 100 FEE'r <br />fflOSiLE HO~IE SE~ER AND WATER CCNNEC'ftON <br />PLUr481NG STATE SURCHARGE <br /> <br />PAYEE; HAIFIELD, ~SFEVEN <br /> <br />9030805 <br /> <br />TOTAL A~.~SESSED FEE~ <br />PREVZ~OS RECEIPTS <br />THIS RECEiP'r <br /> <br />SAL~qCE DUE <br /> <br />F.,X,JAN'FITY <br /> 1 <br /> 1 <br /> <br />RECEIP'I NO: <br /> <br /> REC£IVEO BY: CL TYPE: CA CHECK ~: <br />~ THIS 1S NOT A PERmiT. IH[S APPL~ATION WI~ST ~Q THROUI~ A REVzE~ ~ INHERE ~HE <br />POLLONJNre rctk.~T BE C(XCII:N_IETIED. ,IT [S THE REDSPONSXB[LZTY OF THE APPLICANT TO A~RE THAT <br />ALL NECESSARY INFO~RATfON ~ BEEN PROVIDED. <br /> <br /> $3o.oo <br /> $25.00 <br /> $2.25 <br /> <br /> $47.25 <br /> $0.oo <br /> $47.25 <br /> <br /> $o.oo <br /> <br />32541 <br /> 0 <br /> <br />PL,~N REWiRe; BY ................. DATE ........................ <br /> <br />RE~4~RKS: WATER LINE & CONN F~5028 <br /> <br />CiFY JURiSOiCFiON: bY <br /> <br />DA I E ............ rf <br /> <br />~On~ ~ MC I~-~V ~l~O OFFICE COPY <br /> <br /> <br />