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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOG, NO. 226 <br />228 HIGt-,r"STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588~5147 <br />CODE-A-PHONE 4:30 RM. - 8;00 A.M. <br /> <br />S~TU ~Pg~'~S:.'~CH U LT Z RD NE <br />AURORA OR 97002 <br /> <br />RESIDENTIAL <br /> <br />~8¢~s:PARKNAY <br />WiLSONVILLE, OR <br />PHONE: 682-5849 <br /> <br />SUBDrVI$1ON: <br /> <br /> SITE NUMBER: <br /> VALUATION: <br /> <br />9672 <br /> <br />LOT: 8LOCK: <br /> <br />WIBTN; 0EPTN; <br /> <br />TYPE: PLUM~ING <br /> <br /> 32 3S <br /> 1.5 AC <br /> <br />PERMIT OR APPLICATION NO: 22591 <br /> <br />CONTP, ACTOR, NO. <br />OLIBENKO, MIKE AN0 RITA <br />28095 SN PARKWAY ~7 <br />WIL~ONVILLE, OR 97070 <br />PHONE: 682-58&8 <br /> <br /> ITEM <br />~ATER LINES, 'IST 100 FEET <br />~108ILE HOME SEWER AND WATER CONNECTION <br />PLUMBING BASE FEE <br />FLEET SURCHARGE -ZONE ? <br />PLUMBING STATE SURCHARGE <br /> <br />Z~[AL:ASSE,G..~ED'FEES <br />P~EVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />1W AR 1 <br /> ZONE; MAP; <br /> <br /> NO NO <br /> <br />QUANTITY AMOUNT <br />l $20.00 <br />1 $25.00 <br /> $20.00 <br /> $8.96 <br /> $3.25 <br /> <br /> PAYEE: 'RECEI PT NO: <br /> RECEIVED BY: xxx ............................... TYPE: ~: <br /> <br />~ THiS IS A VALID PEf~IT * <br />CONSTEUCTION CEASES FOR A <br />~IR~ OF STATE ~ <br />~ALL B~E NULL ~D <br /> <br /> R~ARKS; ~ CON, Nb ~ ,~,~,,~.,,~:~ ,~,~ ,~,.,~ , , ~, ~ <br /> ~ALO E, ~DLEY, MAR[~ ~NTY BUILDING OFFICIAL / BY <br /> <br />NO OF BEDROOMS: <br /> <br />$??.21 <br /> <br /> $0.00 <br /> <br />$0.00 <br /> <br /> 0 <br /> <br /> ISECJE DATE. IF <br />~FAIL~ TO MEET ALL <br />'~RDIN~ICES, THIS PEEMIT <br /> <br />CORM · MO 15.~e R~V ,1/88 OFFICE COPY <br /> <br /> <br />