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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 /> <br />I am performing work on a property r own or occupy, <br /> <br /> I have read and agree to the terms stated on the reverse side of <br /> this docu~or~t. <br /> <br /> 3ATE: 01/25/88 <br />OWNER: <br /> EMERY, DALE <br /> <br /> 9694 GOLE CLUB ROAD <br />ALM,~VZLLE 9? <br /> <br />USE OF BUIt. DING~ <br />MAILING ADDRESS: <br /> <br />'10:23:37a <br /> i'r^x Eof: i CATEGORY: <br /> <br /> 5-N M',-'i <br /> <br /> 325 ~ ' ¢ ' <br /> NA~ON COUNTY ; NO ~ <br /> <br />RESIDENTIAL <br /> <br /> RHON <br /> <br />LOT: <br /> <br />WIDTH. <br /> <br />R..................E~ Z DENTIAL. ACC~SORY STAUCZUF~ES <br /> <br /> ~ SITE NUMBER: 1984 <br /> i VALUATION: $5. 500.09 <br /> <br /> ; a. : 9S " I~N i EFU i 60 <br /> <br /> DEPTH: AREA; 5,00000 ~ ' AC YSS ~ ~ <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR NO, 312 <br />EMERY & SONS CONST. <br />PO BOX 398 <br />STAYTON. ()RE 9?383 <br />PHONE: <br /> <br /> [TEM <br />BUILDING EEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 4 <br />~3I_J~LDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE: .... ,: <br /> <br /> 6308 <br />ARCHITECT/ENGINEER NO. <br /> <br />PH ON E .* <br /> <br />QUANTITY <br /> <br />A~}UNT <br /> $56-50 <br /> $35,73 <br /> 5,~2 <br /> ~2.83 <br /> $2_83 <br /> <br /> OTAL ,ASSESSED FEES $!04,0'1 <br /> PREVIOUS RECEIPTS $184.0$ <br /> THIS REOB:iPT $O_CO <br /> <br />8A~ANCEBUE , $0.00 <br /> <br />xE,..,uIVED BY; DM ........... ...~. ......... ' ': z,~,, ........................ <br />'~ THiS IS A VALID PERMIT * THIS PERMIT E~PIRES q,8¢ :~YS ,'FROM ~TS ISSUE DATE. <br />CONSTRUCTION CF~SES FOR A PERIOD OF 180 DA~S. OR tP,~STRUCTlpN FAILS T~ MEET ALL <br />'~E~UIREMENTS OF STATE _ANS AND ZONING ORDINANCES THIS PERMIT <br />SNALL 8EC~E NULL. AND VOID+, <br /> <br />SETBACKS: FR--20 LS-2 RS-2 RR-2 BP-- *' <br /> <br />REMARKS: ADDN TO STGE BLBG <br />HEIGHT: TOTAL SQ E'T: 0 STORIES.* <br /> <br />DONALD E- NDOD[_~-zY, ~¢ARION CC~JNTY BUILDING OFFICIAL / 8Y <br /> <br />~o~ ,, MC ,~5~ .~v e/,~7 OFFICE COPY <br /> <br /> <br />