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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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-PHONE:: 588-7904 <br /> <br /> I am performing work on a property I own or ocou~)y <br /> lart~a registered builder OR( }theauthorizedrepresentati~e <br /> <br /> Other <br /> <br /> DALE: 04/16/92 IiME: 9:29:55 <br />OWNER <br /> HILLS, GgRAL~ <br /> <br />170 N BUf'[F~ <br />0E'f ROi T OR 9?342 <br /> <br />USE OF BUILSING <br /> <br />SJONATURE OF APPLICANT <br /> <br /> DATE <br /> <br /> TAX LOT 90222--629 <br /> CONSTRUCTION TYPE <br /> <br />bONTRACT OIT~ UGB <br />DEl ROi ~ NO <br /> <br />LOf <br /> <br /> BOX 524 <br />PHONE: 854-356? <br /> <br />BLOCK <br /> 15 <br />DEPTH <br /> <br />SUBDIVISION <br /> H A~1"4C1'4 D <br /> <br /> ;SECTION TdwNSHiP- <br /> 1 10 <br /> <br />IAREA 5000. UNITS ~p <br /> <br />tYPE: PLUf'48iNG <br /> <br />CONTRACIOR, NO. <br />HILLS, GERALD <br />P.O. BOX 524 <br /> <br />PHONE: 854-356? <br /> <br />RESIOEN[iAL FiX'lURE, ALfERAIiON~ <br />PLUMING 8~g FEE <br />PLUmiNG S~AfE <br /> <br /> $tlE NUMBER: 92-01183 <br /> VALUAf[ON: <br /> <br />'RANGE ;ONE <br /> 5E k-I-3 <br /> <br /> IRREG LOT NoCO~NESNo <br /> <br />PEkt'4IF OR APPLiCAtION NO: <br /> <br />38891 <br /> <br />OCCUPANCY <br /> <br />I'OI'AL ASS~SED PEE~ <br />PREVIOUS RECEIPTS <br />~HiS RECEiPf <br /> <br />:OCCUPANT LOAD <br /> <br />QUANilfY A~OUN[ <br /> 2 $~8.00 <br /> $20.00 <br /> <br />~39.90 <br /> 39.90 <br /> $0_00 <br /> <br />BALANCE 04JE $0.00 <br /> <br /> PAYEE: iNVOiCE NO: <br /> R~C~IVED BY: P~ fYPE: CHECK ~ 0 <br /> <br /> THIS iS A VALID PER~41T ~ THIS PER~IT EXPiR~ 180 DAY~ FROM iTS iEEAJE DATE. IF <br />~T~OTI~ C~ FOR A P~RiOD OF 180 ~, OR iF ~T~CTI~ FAI~ TO ~EET ALL <br />RE~iR~T~ OF STATE ~ ~O ~RI~ ~NTY BUILDING ~D Z~ING ORDiN~C~, THIS PE~iT <br />~ALL B~E NULL ~D VOID. <br /> <br />REMARKS: 2 PiX <br />DONALD E- WDODLEY, rflARION OOUNfY BUILDING OPPICiAL / BY ....... ~. ............. <br /> <br />OFFICE COPY <br /> <br /> <br />