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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 430 PM, - 8 00 A M <br /> <br />DATE: 04/2'7/89 TIME: 2:33:33D <br /> <br /> ERICKSON, DENNIS <br /> <br /> 4968 DUMORE OR SE <br />AUMSVILLE OR 9?325 <br /> <br /> SIGNATURE OF APPI iCAN T' <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br />M~ION C~NTY <br /> <br />5-N <br /> <br />RES ~ DEN]- <br /> <br />NO OF <br /> <br />MAIUNGADDR~SS OTHER NON-RESIDENTIAL BUILDINGS <br /> <br /> SAME <br /> <br /> PWONE: 363-0514 <br /> <br />LOT 8LOCK ~ECTIQN TOWN~IIIP <br /> t 2 8S <br /> 4. 25000 AC <br /> <br />SITE NUI~BER: 5897 <br />VALUATION: $5,184 - 00 <br /> <br /> 2W AR3 49 <br /> NO NO <br /> <br />TYPE: BUILDING <br /> <br />CON-FRAC?OR, NO_ <br />ERICKSON, DENNIS <br />SAME <br /> <br />PHONE: 363-0814 <br /> <br />PERMIT OR APPLICATION NO: 12581 <br /> ARCHITECT/ENGINEER, <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br />ZGNING SURCHARGE <br /> <br />PAYEE: <br /> <br />PHONE: <br /> <br />TOTAL. ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br /> 36.7o <br /> $3,84 <br /> $2.83 <br /> $283 <br /> <br />$102_73 <br /> $0,00 <br /> <br />BALANCE DUE $0,00 <br /> <br />RECEIVED BY; PR ............................. TYPE: CHECK ~: <br /> <br />:~ THIS IS A VALIO PERMIT ~ THiS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE ~WS AND ~RION C~JNTY BUILDING ~D Z~ZNG ORDIN~CES, THIS PERMIT <br />SHALL BECOME NULL, AND VOID, <br /> <br />SETBACKS; FR-2?5 LS-9 RS-9 RR-9 SP- <br /> <br />O~ALO E. WOODL~, MARION ~UNTY BUILDING OFFICIAL <br /> <br /> <br />