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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />2-20 HIGH STREET NE <br /> SALEM, OREGON 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 /> <br />CA'lEt 12/11/93 TIr4E: 15:56~09 <br /> COE, JACK <br /> <br />CONSTRUCTION TYPE: <br /> <br />OCCUPANCY: <br /> <br /> 1 '~ 1~54 LARK (,~JR'~" NE ~ONTRACT ClTYZ : U~B: OCCUPANT LOAD: <br />AORORA OR 97002 <br /> MARION COUNf'Y ' NO <br /> <br />MAILING ADDRSSS; <br /> <br />CEN'f'URY MEA[Y,3WS ~4 <br /> <br />LOT: BLOCK: <br />WIOTH: DEPTH: <br /> <br /> SITE NUIYEtER: 15058 <br /> VALUATION: <br /> <br /> SECTION: TOWNSHIP: RANGE~ ZONE~ <br /> 33 38 1W AR <br />85: 5100. SP' NO i NO <br /> <br />MAP: <br /> <br />RESIOEN/'tAL. <br /> <br />TYPE: PLUM~ING <br /> <br />CONTRACTOR, NO. <br />COE, JACK <br /> <br />PERf~i'f' OR APPLiCATiON NO: 3'7209 <br /> <br />F'HONE: <br /> <br /> ITEM fZzIJAN'f'i'I'Y AMOUNT <br /> <br />SEWER LINES, 1S'f' 100 FEE1 1 . <br />PLUP4~iNG S'FA'f'E StJRO~A~E $2.50 <br /> <br />']O'fAL A~E~ED FEES <br />PRE¥IE,~JS RECEIPTS <br />THiS RECEIPT <br /> <br />$52.50 <br />$52.50 <br /> $o.oo <br /> <br />BALANCE DUE $0,00 <br /> <br /> RECEIPT NO: <br />TYPE: CHECK ~: 0 <br /> <br />PAYEE: <br />RECEIVED BY: Df4~ <br /> <br />~ THIS IS A VALID PEI~IIT ~ THIS PEr, liT EXPIRES 180 DAYS FR~M ITS i,SSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR iF CONSTRUCTION FAILS TO MEET ALL <br />RF_.(~JiR~41~TS OF STATE tJ&l~l~5 AND D1ARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERDIiT <br />SHALL BECOME NULL AND VOID. <br /> <br />R~RIQS: WL/SL <br /> <br />[)ONALD E. WOODLEY, NIAR.[ON COUNTY BOiL-DING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 REV. 4/90 <br /> <br /> <br />