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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 /> Ot~er <br /> <br />DATE: 11/02/87 TIME: 1:38:59o <br /> BELDEN,, J AJ'4ES <br /> <br /> 12083 N. STAYTON RD SE <br />AUNLSVILLE OR 9?325 <br /> <br />USE OF BUILDING: <br /> <br />SINGLE FAMILY DWELLINGS <br /> <br /> fAX LOT: CATSGORY: <br /> R <br /> <br /> 5N R3 <br />VIAR I ON COUNTY NO ~ <br /> <br />SU BD~VISION <br /> <br />12010 N. STAYTON RD <br />AUIvISVILLE, OR 97325 <br />PHONE: 769-2260 <br /> <br />LOT BLOCK: SECTION TOWNSHIP <br />13 <br /> <br /> 38. 0000 <br /> <br /> SITE NUMBER: 2992 <br /> VALUATION: $0.oo <br /> <br />90 2W EFU 52 <br />AC RREG. LOT NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />BELDEN, JAMES D. <br />12010 W. STAYTON RD <br />AUMSVILLE, OR 9?325 <br />PHONE: 769-2260 <br /> <br /> ITEM <br />BUILDING FEE <br />FLEET SURCHARGE -ZONE <br />BUILDING STATE SUR~ARGE <br /> <br /> 5337 <br />ARCHITECT/ENGINEER, NO,. <br /> <br />TOTAL ASSESSED FEES <br />';PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $10.0O <br /> ~3_84 <br /> 0,50 <br /> <br /> $0.00 <br />$t4.34. <br /> <br />BALANCE E~JE $0. O0 <br /> <br /> PAYEE: BELDEN, JAMES D. '--'-' ,' 5901 <br /> RECEIVED BY: J8 ~ .~'~z._~~: TYPE: CK CHECK ~: 3519 <br />..................... _-_-%~_~_%%,,%%,. ¢~,.-~. - ,/¢_~ _.~--~ ~---~ ................................... <br /> *' THIS IS A VALID PERMIT x< ,TH;IS RE~4:IT :EXPIRES:lB0 DAYS FROM ITS ISSUE DATE_ IF <br /> CONSTRUCTION CEASES FOR A PERIOD DE, lB'0 DAYS; ORIF CONSTRUCTION FAILS TO MEET ALL <br /> REOUIREMENTS OF STATE LA~ AND MARI,~ ~N~Y BUILDING AND ZONING ORDINANCES, THIS PERMIT <br /> PN4ALL BECOME NULL AND VOID. <br /> <br />SETBACKS: ER-____ LB-____ RS-u .... RR- BP- <br /> <br />REMARKS: DEMOLITION R~8067 <br />HEI~MT: TOTAL ,SO FT: O STORIES: I <br /> <br />DONALD E- NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> <br />