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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-$147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />I am performln9 work on aproperty I own or occupy. <br />I am a registered builder OR ( ) the authorized regresentative <br />of a registered builder. <br />The work will be performed by 8 registered builder, <br />Other <br /> <br /> DATE: 04/21/87 TIME: 12:25:59p <br /> <br />OWNER: SANDSTRUM, EDGAR ~- <br /> <br />G~TU$ ADDRESS' <br /> <br /> 55?? DUMORE DR SE <br /> AUMSVI LLE OR 9?325 <br /> <br />SAHE <br /> <br />ONE aND ~ FAMILY DNELLINGS <br /> <br />PHONE~ 364-6731 <br /> <br />13 <br /> <br /> TAX LOT: OAYE~ORY: R <br /> <br />CONSTRUCTION TYPE: 'OCCUPANCY' <br /> 5N R3 <br /> <br /> MC <br /> <br />8S <br /> <br />SITE NUIV~SER: 1107 <br />VALUATIONt $8,362.00 <br /> <br /> 2N AR3 49 <br /> RREG. L~T: N CORNER: N <br /> <br /> TYPE: BUILDING PER,lIT OR APPLICATION NO= <br />'CONTRACTOR, NO. <br /> SANBGTRUM, EDGAR d. <br />SAME <br /> <br /> 1825 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: 364-673! <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN RE'WIEN <br />FLEET SURCHARGE -ZONE 3 <br />STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE: <br />RECEIVED BY: PB <br /> <br />* THIS IS A VALID PERMIT * THIS <br />CONSTRUCTION CEASES FOR A PERI( <br />REQUIRE~IENT$ OF STATE I_A~A~NC <br />SHALL BECOME NULL AND VOID. <br /> <br />~JANTITY AMOUNT <br /> $74.50 <br /> $48.43 <br /> i3_84 <br /> 2_98 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />¢133.48 <br />133.48 <br /> $0.00 <br /> <br />BALANCE DUE <br /> <br />$0.00 <br /> <br /> INVOICE NO: <br />TYPE: CHECK <br /> <br />FI~ IT~ I,%S~JE BATE. IF <br /> FAILS TO MEET ALL <br /> ;'ONIN60RDIN~NCES, THIS PERMIT <br /> <br />¢~EfCC-RKSt' HT.: 14' BEDRN'& <br />DONALD E. NOODLE'S', <br /> <br />OFFICE COPY <br /> <br /> <br />