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MARION COUNTY BUILDING iNSPECTION <br />SENATOR BLDG NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OF~EGON 97301 <br /> <br /> PHONE:: 588-5147 8::00 - 4;30 <br />24. HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy <br />lam areg~steredbullder CRt ItheauthONZOd ropresontatl~e <br />of a fo( ~storod buildor <br />The work will be performed by a registered builde¢ <br />Other. <br /> <br />OWN~,FE: 06/17/91 'f.[ME: 14;23:51 <br /> <br /> ] HOM~, MICHAEL <br /> <br />TAX LOT CATEGORY <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br />RE.5i DEN T iAL <br /> <br /> 't00~4 NIL4F_.J~.CRE LANE <br /> AURORA <br />t)SF OF BIJJLDING <br /> <br />OR 9'/00'1 <br /> <br />NE <br /> <br />CONTRACT CITY UG8 <br />MARION COUNTY NO <br /> <br /> PHONE: 678-2766 <br /> <br />LOT BI OCK SECTION TOWNSHIP <br /> <br /> 14.0 14'/ 20580. <br /> <br />Si1E NUMBER: 15074 <br />VALUAfiON: <br />RANGE ZONE <br /> <br /> IRREG LOT CORNER <br />SF NO NO <br /> <br />TYP~: PLUMt;ClNG PER~V~I1 OR APPLiCATiON NO: ~2466 <br /> <br />CON f RAC fOR, NO. <br /> MICHAEL <br /> <br />PHONE <br /> <br />5EWER LIN~, lSf' 100 P'EEf <br />MrJ~ILE HOME SEWER AND WATER CONNECIiON <br />PLUIVlSING SfAf'E ~URCHARGE <br /> <br />fOTAL AS~EESED FEES <br />PREWiOU$ RECEIPrS <br />IHIS RECEiPI <br /> <br />QUANf~IY A~NT <br /> $ o.oo <br /> 1 $25.00 <br /> $2-75 <br /> <br />$57. Y5 <br />$5?, ?5 <br /> $0.oo <br /> <br />8AL.a~CE BLuE $0.00 <br /> <br />PAYEE: RECEiPf NO= <br />RECEIVED BY: CL fYPE: O!4ECK ~: 0 <br /> <br />* THiS IS A VALID PEI~IT * THIS PERMIT EXPIRE~ 180 DAY~ FROM ITS iSSUE DATE. IF <br />CONSTRUCTION CEA,..~ FOR A PERIOD OF 180 DAYS, OR iF CONSTRUCTION FAILS TO ~flEET ALL <br />RE(~IJIREi~II~T$ OF STATE LANS AND MARION COJNTY BUiLDIN~ AND ZONING ORDINANCE~. THIS PERMIT <br />S~iALL ~F_CO~E NULL ANDVOiD. <br /> <br />REMARKS: MH CON, SL R~6442 <br /> <br />0ONALU E. WOODLEY, MARiON COUNTY BUILDING OFFICIAL / BY .......................... <br /> <br />POn~ ~ MC ~-~e Rsv 4/~ OFFICE COPY <br /> <br /> <br />