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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 225 <br />220 HIGH STREET NE <br /> SALEM, ORE,G~N 97301 <br /> PHONE: 588-514'7 8~.'00: ~ 4:30 <br /> 24 HOUR CODE-A-PHONE' 588-'7904 <br /> <br />of a registered builder <br />i'ho work wdl be performed by 8 registered buildel <br />Other_ <br /> <br />SIGNATUPE OF APPLICANT <br /> DATE <br /> <br />OWNFR <br /> OA(Et fJS/~0/9 t flM~: 7:23:24 <br /> <br />SmJS Ar~r~rS~l,~EkN, JOE <br /> <br />TAX LOT CATEGORY <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br />RESIDEN~ iAL <br /> <br />11667 FALCON CF NE <br /> <br />rflARi ON COUN l Y NO <br /> <br />20 WALKING WOODS DR <br />LAKE ~EGO OR 97035 <br />PHONE: 636-79'~8 <br /> <br /> CEN]URY MEADOW"3 :~4 <br /> <br />Si ~E NUMBER: , 13896 <br /> <br />WlRTH 35 DEPTH 19 ;REA ~3 UNITS <br /> <br /> IRREG LOT CORNER <br />3S '~W <br /> <br /> NO NO <br /> <br />[YPE: PLUM~ ING <br /> <br />PER,lIP OR APPLiCAtION NO: <br /> <br />CONf NAC/OR, NO, <br />GR'~,SN, JOE <br />20 WALKING ~.iOODS DR <br /> LAKE O~Wf~GO OR <br />PHONE: 636-7918 <br /> <br />IIEM QUANII~Y <br />WAfE~ L~N~, 1S'f 100 PEEr ~ $20.00 <br />~EWER LiNE~, ~| lO0 PbEI ~ <br />PLUIViBiNG 5rAr~ 5Uk-'CHARGE $2_50 <br /> <br />IOIAL AESE~ED FEES <br />PRE~iOU$ RECEIPT'S <br />IH25 RECEIPT <br /> <br />~52.50 <br /> 52.50 <br /> <br />BALANCE DUE $o. CO <br /> <br />PAYEE: RECEIPT NO: <br />RECEiVEO ~Y: 0M2 TYPE: CHECK ~: 0 <br /> <br />* THiS IS A VALID PER~IT * THiS PER~iT EXPIRE~ 180 OA~ PRC~I ITS I,%~JE DATE. <br />CONSTRUCTION CEASES EOR A PERIOD OP 180 DAY~, OR lP CON~TRUCTICN FAILS TO NEET ALL <br />~IRE~ENTS OF STATE LAIA~ AND IVIARION COUNTY 8UILOIN~ ANO ZONING ORDINANCES, THIS PER3~IIT <br />SHALL 8EC:O~E NULL AND VOID. <br /> <br />RV, C4ARKE: WAfEP,.,/EEWER LINE R~2559 ~ <br />DONALD E. WOODLEY, ¢,4ARiON crjUNIY BUILDING OFFICIAL / BY .........~, <br /> <br />FO.. # MC ~.-~ ~Ev 4/~o OFFICE COPY <br /> <br /> <br />