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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 />of a registered builder <br />The work will be performed by a registered budder <br />Other. <br /> <br />¢IGNATURE OF APPLICANT <br /> DATE <br /> <br /> OAFE: 05/~5/90 l'llVl~: 11:35:03 <br />OWNER <br /> Hb. NKEL, LLOYO <br />SITUS ADDRESS <br /> <br />TAX LOT <br />CONSTRUCTION FYPE <br />CONTRACT CITY UOB <br />FtA. R i r..x~ COUNTY NO <br /> <br /> 5700 HUSKE~ LANE SE <br />Aur4E. VILLE OR 97325 <br /> <br />MARK E T l EL <br />42'713 HWY 226 SClO 97374 <br />PHONE: 394-3983 <br /> <br />LOT BLOCK <br /> <br />WIDTH DEPTH <br /> <br />~ECTION <br /> <br /> '1:3 <br /> <br />TOWNSHIP <br /> <br />UNITS <br /> <br /> SiIE NurflBER: <br /> VALUA f iON: <br /> <br /> 2W <br /> IRF~EG LOT <br /> <br />AC YES <br /> <br />DEN l I AL <br /> <br /> 9789 <br /> <br />ZONb <br /> <br /> AR 49 <br />COF~NER <br /> <br /> YES <br /> <br />IYPh: ON-linE ~ENAGE <br /> <br />PERt411 OR APPLiCAfION NO: 22924 <br /> <br />CON IRACfOR, NO. <br />HENKEL, LLOYD <br />MARK EIlEL <br />42713 H~Y 226 ~i0 973?4 <br />PHONE: 394-3983 <br /> <br /> ITEq~I <br />~i)'E EVALUAIiON, PI~I LO| <br /> <br />(;,~ANFiIY <br /> 1 <br /> <br />rOTAL ~EO FEES <br />PREVIOUS RECgI~'fS <br />IH18 RECEIPT <br /> <br />BAL.N~OE [:)LIE <br /> <br />PAYEE: <br />RECEIVE0 BY: CL2 <br /> <br />SEE A'TIACHED [Y'.JCUMENI FOR REQUiREt4ENTS OF ON-SIIE SEWAGE <br /> <br />fYPB: <br /> <br /> AMOUN [ <br /> $175. O0 <br /> <br /> $175.00 <br /> $'F~'5.0o <br /> $0.oo <br /> <br /> SO.OD <br /> <br />RECEIPT NO: <br />CHECK ~: 0 <br /> <br />NOTE: )'HIS DOI~S NOT 81;~a&lT OR IMPLY PER~Z,~EION TO BUILD ON THiS PARCEL. PLJ~NNI~ AND <br />~L~ONSTR[JCTION PER, ITS f'~T E~lg ~TAIN~D BEFORE I~UILOING OR ..~EPTIC iNSTALLATION ~IBBINS. <br /> <br />RECCARKS: 5E R~3222 SIO ~YSFEM ~ ~ <br />DONALD ~, NOODL~Y, MARION COUN'fY BUILDING OFFICIAL / BY ............. ~ <br /> <br />OFFICE COPY <br /> <br /> <br />