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Permit - 1301101
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Permit - 1301101
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Entry Properties
Last modified
8/30/2011 1:25:08 PM
Creation date
9/4/2003 3:09:13 PM
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Permits
Permit Address
11138 SIMPSON RD SE
Permit City
Aumsville
Parcel Number
081W20 01200
Permit Type
Permit
Permit Site Number
6483
Permit Doc Type
Permit Document
Status
Ready to Film
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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO 225 <br />220 HIGH STREET NE <br /> SALEM! OREGON 97501 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4 30 PM - 8 00 AM <br /> <br /> I am performin9 work or~ a roperty ~ own or occupy , <br /> I am e registered b(~ilder O~ ( ) the authorized represent~lve <br /> <br /> DATE: 10/04/89 TIME: 1:43+.20p <br /> <br />OWNER CLARK, CRAIG IN+ <br /> <br />SIGNATURE OF APPI,,[GANT <br /> <br /> DATE <br /> <br />8~TUS ADDRESS <br /> <br /> 11138 SIMP~DN RD <br /> AUMSVILLE <br /> <br />USE OF BUILDING <br /> <br />MAILING ADDRESS <br /> <br />OR 97325 <br /> <br />SE <br /> <br /> CONSTRUCTION TYRE <br /> <br /> CONTRACT CfTY <br />MARION COUNTY <br /> <br />UGS <br /> <br />NO <br /> <br />C~TRGO~, RESIDENTIAL <br /> <br />OCCUR&NC¥ <br />OCCUPANT LOAD <br /> <br /> NO OF SE[)ROOM5 <br /> <br />PHONE; 749-2773 <br /> <br />SITE NUMBER: 6483 <br />VALUATIONs <br /> <br />LOT BLOCK SEC]ION TOWN,~HIP <br /> 20 <br /> <br />WIDTH DEPTH AREA 50 . 6000UNITS <br /> <br /> RANGE ZONE MAP <br />8S lW EFU <br /> <br />AC IRREG LOT YF.¢.'~c°RNr-~ NO <br /> <br />48 <br /> <br />OONTRAGTOR. NO, <br />CLARK, CRAIG W. <br /> <br />PHONE: 749-2773 <br /> <br /> ITEM <br />B]f4ESTIC WOOD STOVE <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE -ZONE 3 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: CLARK, CRAIG W. <br /> <br />TOTAL AS.~ESSED FEF_.~ <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $?.50 <br /> $10.00 <br /> $3.84 <br /> $0.88 <br /> <br />$22-22 <br /> $0.oo <br />$22,22 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIPT NOt 20587 <br />RECEIVED BY: P~ TYPE; OK CHECK ~; 4793 <br />* THIS IS A VALID PEI~IIT * THIS PERMIT EXPIRES 180 DAYS FRO~ ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 190 DAYS, OR iF CONSTRUCTION FAILS TO REETALL <br />RE(~JIRENENTS OF STATE LAWS AND M~RION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERNIT <br />S~HALL BEC(~IE NULL AND VOID. <br /> <br />REHARKS! 9¢:)OBSTOVE R'~¢6132 <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / 8Y <br /> <br />FORM ~ MC 1~5~ BEV 11'88 OFFICE COPY <br /> <br /> <br />
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