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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 <br />CODE-A-PHONE 4:30 RM. 8:00 A.M. <br /> <br />I am a registered builder OR ( ) the euthodzed representative <br /> <br />this document. <br /> <br />glONATURE OF APPUCANT~ <br /> <br /> DATE: <br /> <br />owN~NTE: 04/30/90 TIME: <br /> <br /> WALLING, MARGARET <br /> <br />9:50:15 <br /> <br /> 10567 STAYTON RD <br /> AUNtSVILLE <br />USE OF BUIL~NG: <br /> <br />OR 97325 <br /> <br />SE <br /> <br /> CONTRACT QITY[ <br /> <br />IViARI ON COUNTY <br /> <br />UGEk <br /> <br />MAILING ADDRESS: .... <br /> <br />RES I DENT i A' <br /> <br />NO <br /> <br />OCCUPANT LOAD: <br /> <br /> NO. OF BEOROOMS: <br /> <br />8YFORD & BEVERLY NONDERLING <br />769-2220 6268 STAYTON RD SE TURNER <br />PHONE: ?69-'5563 <br /> <br />WIDTHI DEPTH: AREA: <br /> <br /> 1 ? UNITS: <br /> <br />50099. <br /> <br />119 421 <br /> <br /> SITE NuMBERt 9569 <br /> VALUATION: <br /> RANGE: ZONE: MAP' <br /> <br />9S ~RREG. LOT: lW CORNE~: EFU 60 <br />SF NO NO <br /> <br />TYPE: PLUMBING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />WALLING, MARGARET <br />8YFORD & BEVERLY WONDERLING <br />769-2220 6368 STAYTON RD SE TU <br />PHONE: 769-5563 <br /> <br /> ITEM -' <br />MOBILE HONE SEWER AND WATER CONNECTION' <br />ELEET SURCHARGE -ZONE 4 <br />PLUb/IBING STATE ..~¢JRCHARGE <br /> <br />22254 <br /> <br /> ~'FEES <br />lOgS RECEIPTS <br /> <br />'BALANCE BJE <br /> <br />QUANTITY AMOUNT <br /> 1 $25.00 <br /> $5-12 <br /> $1.25 <br /> <br />$31.37 <br />$91.37 <br /> $o_oo <br /> <br />$0.00 <br /> <br /> PAYEE: RECEI PT NO: <br /> RECEIVED BY: P8 ............................................................. '_.:,,,',~.._,.~,_.,_',,;,_,:.:, "', TYPE.: CHECK ~: 0 <br /> <br />* 'PHIS IS A VALTD PE~IT * ~tl~I~ i:~EI~IIT EXPIRES 180 OAYS,,;,F, RO~ ITS IE~UE DATE. IF <br />C~NSTRUCTION CEASES FOR A PERJOQ;/~OF[~/I 1'.8,0 ,DAYS, '.,OR: IF C(~E~Ii~I;~I~_CllON FAILS TO MEET ALL <br />Ri~/dlIR~ OF SqrATE ~ ANIB.".I~IARION COUNTY BUILDING 'AND.,~:C~II'N60RDINANCi~S, THIS PEI~ITT <br />~ BECOME NULL AND VOID. <br /> <br />REMARKS: CONN R~0812 <br /> <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / 8Y <br /> <br />~o.u ,~ MC ~5-se ~EV ~/~a OFFICE COPY <br /> <br /> <br />