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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. 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 /> 0Ali'S': C5/20/92 <br />; OWNER <br /> (~F~b.b.N. gu.b. <br /> <br />'FObbl"9'] <br /> <br />RES,i DEN l iA~ <br /> <br /> 1 q69~ 'IHRUSH C'I Nb. <br />AURORA UN 9'I002 <br /> <br />USE OF I~t,J _DING <br /> <br />MAR/ON COUNTY NO <br /> <br />OCCUPANT LOAD. <br /> <br />MAILING ADDRESS: <br /> <br />20 WALKINF3 W(J'~U DR <br />LAKE OWS~GO, OR 9V035 <br />PHON~: ~36-7918 <br /> <br />LOT; BLOCK: <br /> <br />WIDTHi DEPTH; <br /> 59 <br /> <br />SUBDIVISION' <br /> <br />CEN'f'UR'~ 1'4EADOUW~ '404 <br /> <br /> SITE NUMBER: 92-01582 <br /> VALUATION: <br /> ~ECTION[ Tow~HIP[ RANGE[ ZONE: <br /> <br /> AREA: :~Ni~: IRREG. LOf: CORNER: <br />100 5900. SF NO: NO <br /> <br />MAP: <br /> <br />TYPE: PLUMBING <br /> <br />PERMIT OR APPLiCAIlON NO: 39535 <br /> <br />CONfRACTOR, NO. ?39?? <br /> LADflAIN CONS'T'RUCIiON <br />206 SE ATH <br />'FR'OJTDALE, 97050~OOO8 <br />PHONE: ?60-7'736 <br /> <br /> i'r'E~l <br />WA'IER LINES, 1S'I' 100 FEET <br />SENER LINE~, 1S'¥' 100 FEET <br />PLUIVBiNG STATE ~RCHAR%E <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />'THIS RECEIPT <br /> <br />QUANIiI'Y A~OUN'F <br /> $2_50 <br /> <br />$52.50 <br /> <br /> $0,00 <br /> <br />BALANCE DUE $0,00 <br /> <br />PAYEE: RECEIPT NO: <br /> <br /> RECEIVED BY: pb2 TYPE; CHECK ~: 0 <br /> <br />~ THIS IS A VALID PERi,liT · THIS pER~iT EXPIRE5 180 DAYS FROM i'l'~ IEiSUE DATE. iF <br />~DNSTRUCTION CEA~E~ FOR A PERIOD OF 180 ~YS, OR iF ~T~CTi~ FAI~ TO MEET ALL <br />RE~IR~TS OF STATE ~D~RI~ ~N'FY BUILDINE~D Z~ING ORDIN~C~, THiS PE~iT <br />~ALL BEde NULL ~D VOID; <br /> <br />Rf:~IARKS: WL, SL <br />DONALD ~, NOODLEY, MARION COUNTY BUILDING OFFiCiAL / BY ...................................... ~ ...................................... <br /> <br />FORM # MC 15-56 REV, 4[~0 OFFICE COPY <br /> <br /> <br />