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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 P.M, - 8:00 A.M. ~ <br /> I am performing work on a property I own or occupy. <br /> I am a registered builder OR the authorized representative S~GNATURE OF APPLICANT: <br /> of a registered builder, <br /> The work wiJl be performed by a registered builder, <br /> Other, <br /> I have read and agree to the terms stated on the reverse side of DATE'. <br /> this document, <br /> DATE: 08/24/8? TIME; 11:30:25,~ <br />OWNER: CHURCH OF GOD OF PROPHECY ~TAX LOT; COVlNERiCAL. <br /> <br /> 10637 STAYTON RD <br />AUff~VILLE <br /> <br />¢~ BOX 30? <br />AU~VILLE <br />PHONE~ <br /> <br /> RESIDENTIAL ACCESSORY STRUCTURES <br /> <br /> WANDA HALES <br /> OR 9?325 <br />749-2735 SITE NUMBER= 2302 <br /> VALUATION: <br /> <br /> 5N <br /> SE i ~fibu~'A~r LOAD: <br />OR 9?:325 ~RION COUNTY i NO <br /> <br />$0.00 <br /> <br /> TOWNSHIP; I RANGE; ' ZONE: : MAP: <br />17 ~ 95 : 1W EFU i 60 <br /> <br /> :UNITS: : IRREG, ~.OT: NO iCOmf~'' <br /> <br />TYPE: BUILDING PER~IT OR APPLICATIO~ NO: <br /> <br />CONTRACTOR NO. <br />CHURCH OF ~OD OF pROPHECY <br />PO BOX 307 WANDA HALES <br />AUI'4SVILLE OR 9?325 <br />PHONE: 749-2735 <br /> <br /> ITEM <br />BUILDING FEE <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br /> 3962 <br />ARCHITECT/ENGINEER, NO_ <br /> <br />PHONE: <br /> <br />,. ~ToTAL ~ESSED FEES <br /> ::::'PREV I 0US, REO:E I PTS <br />' 'THIS RECEIPT:: <br /> <br />QUANTITY ,AMOUNT <br /> $10.00 <br /> ~3.84 <br /> 0.50 <br /> <br /> $0_00 <br />$14.34 <br /> <br />$0,00 <br /> <br />RECEIVHD BY: pb ___ ,CA:, CHECK :~: 0 <br /> <br /> PERf4IT * 180 DAYS FROCd :ITS ISSUE DATE. iF <br /> THIS <br /> IS <br /> A <br /> VALID <br />CONSTRUCTION CEAS~ FOR A FAILS TO MEET ALL <br />REtIREmENTS OF STATE LAMS ANB~R~ON;~N~; B~I~B~NG,;;~¢ ZONING ORDZN~CES, THIS PERMIT <br />SHALL 8E~E NULL AND VOID, , ; <br /> <br />REMARKS: DEMOLITION R~3148 <br />HEIGHT: TOTAL SQ FT: 0 SToRIEs; 1 <br />DONALD E. ~tDODLEY, ~4ARION COUNTY BUILDING OFFICIAL / BY <br /> <br />PLAN.ACTION; <br /> <br />rO~M, ~C ,>~,~ ~.~ ~ OFFICE COPY <br /> <br /> <br />