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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 a reestered builder OR ( ) the authorized representative <br /> <br />PATE: O4/12/89 TIME: '12;41 :BOp <br /> SMITH, eRED <br /> <br /> I,AK ....... :'~ I" DR <br /> 310 "';~' "' <br />0ETROZT OR 97342 <br /> <br />SIGNA'i'URE OF APPLICANT: <br /> <br />OATE~ <br /> <br />TA× LOT; <br /> <br /> CONTRACT CITY: UGB: <br />DETR~OIT <br /> <br />NO <br /> <br />CATEGORY: <br /> RESI OENT~AL <br /> <br />OOOUPANOY~ <br /> <br />OTHER NON--RESIDENTIALBUILDING~ <br /> <br />SUBDIVISION: <br /> <br />13367 PORTLAND RD NE <br />GERVAIS, OR 9?026 <br />PHONE; 634-220? <br /> <br />108 161 <br /> <br />SECTION: TOWNSHIP; <br />1 <br /> <br /> 17388.0 <br /> <br /> SITE NU~3ER: 6889 <br /> VALUATION; $2,000.00 <br /> RANGE: ZONE: MAP: <br /> <br />10 5E M/F !05 <br /> IR~EG, eT; CORN~Rr <br />~F NO NO <br /> <br />BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />SMITH. FRED <br />13387 PORTLAND RD NE <br />GERVAIS, OR 9?028 <br />PHONE: 634--..220? <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE ? <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE: <br />RECEIVED BY; CL ........... <br /> <br /> 14972 <br />ARCRITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br /> S <br />~OTAL,~S,E~.ED EBES <br />'PREVIOUS'JRECEIPTS <br />THiS'RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $32.50 <br /> $2~,13 <br /> $8.96 <br /> $1,63 <br /> <br />BALANCE!',DUE $0-00 <br /> <br /> 'THIS IS A VALID PERNIT - ~IS PE~IT.~4~IRES'~',80,=BA~;,'¢RO~ ITS ISSUE DATE IF <br />CONSTRUCTION CEASES FOR A ?E~,~OB;~;,OF $8'0';'DA¥S'~,',0~ ,IF::E~ON~ROC%ION FAILS TO ~EET ALe <br />REOUIRENENTS OF STATE LA~¢ANO,,:~R~'ON,COUNTY"BU,,~LB~NG ANB"',Z~ING ORDINANCES. THIS PEF~!T <br />~4ALL SECONE NULL AND VOID. <br /> <br />ZONING: BY DATE SETBACKS: FR <br />REMARKS: MAIN DECK AREA <br />HEIGHT: 3 TOTAL ,RLAN.4/~T~ON: <br />DONALD E_ ~ODLEY~ MARION COUNTY 9UILDING OFFICIAL / BY <br /> <br />~,or~ ,~ ~o 15.5e ~v .~et~ OFFICE COPY <br /> <br /> <br />