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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:: 588-5147 8:00 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />The work will bo performod b~ a registorod builder <br />Other. <br /> <br />11/2/'/90 i II~IE: <br /> <br />RC"B ER [ GARFIELD <br /> <br />SIGNATURE O¢ APPLICANT <br /> DATE <br /> <br /> TA× LOT <br /> <br />Si'f US AL~DH~SS CONSTRUCTION TYPE <br /> <br /> 2.15 EV,CRGREEN DR -- 11 <br /> AUMSVILLB OR 9'7325 CONTRACT CITY <br /> AUF4SV I LLE <br />USE OF BUILDING <br /> <br /> RESi DEN fiAL ACCE~NY ST RUC FUR~S <br />MAILING ^D DRE'~S SUBDIviSION <br /> <br />5770E,/5'?'?07 <br /> <br />NO <br /> <br /> CATEGORY <br /> R~SiL)~N r IA!~ <br /> <br /> OCCUPANCY <br /> <br />:OCCUPANT LOAD <br /> <br /> NO OF BEBR00M~ <br /> <br />EVERGREEN ES fA1 ES <br /> <br /> PHONE: 'f,$9- 1654 <br /> <br /> q I 25 <br />W~DTH 55 DEPTH 1'~'~ AREA 62 "~ 5 . <br /> <br /> ~IIE NUMBER: <br /> VALUAFiON: <br /> <br /> RANGE <br />8S 2W <br /> <br />SF I~EG LOI NO <br /> <br /> I 1591 <br /> $ t, OOO. O0 <br /> <br />ZONE MAP <br /> <br />fYPfr,: ~UILDiNG PERNif OR AP,°LiCAI'ION NO.* <br /> <br />CON IRACIOR, NO. 38238 <br />5ANFIAN MOt3iLE HOrflE5 <br />I}~"f3 MiLLCREEK RD SE <br />AUM~ViLLE OR 97325 <br />PHONE:: "/~9-'/'744 <br /> <br />BUILDING FEE <br />PLAN REVIEW <br />PLEE~ bURCHARGE -ZONE <br />~UiLDING SIAfE SURCHARGE <br /> <br /> 26369 <br />ARCIfllTEC1/ENGINEgR, NO. <br /> <br />PHONE: <br /> <br />OUANIIIY <br /> <br />IOTAL ~E~ED FEES <br />PRF-¥ i OU;5 R~CF'I P FS <br />'fHI~ RECEI P1 <br /> <br />AMOUNt <br /> <br /> $11.38 <br /> <br />33.80 <br />$o.oo <br /> <br />BALANCE ODE $0,00 <br /> <br /> PAYEE_ <br /> R~OglVbl,) BY: CL ~YPE: CHECK ~t: 0 <br />x* THIS IS A VALID FERMi1 * THiS PEI',~IlT EXPfRE5 180 ~YS F~ iTS I$~l~ DALE. ,~F <br />GON~fRUCFiON C~ES FOR A PERIOD OF t80 DAY~, OR IF C~8"FRUCTI~ FAILS 'f'O M~:ET ALL <br />RRQUiR~ENf5 OF 5FATE ~ ~O ~RI~ ~N[Y BUILDING ~D Z~iNG ORDINANCES, H415 PERMii <br />SHALL BECOME NULL AND ~ID. <br /> <br />SE~BACKS: PR 0 LS 25 RS 0 RR 10 SP <br />RPMSRKS: CARPORT <br /> <br />HEiGHt: 12 fO1AL SQ F~: 240 SfOR£E,5~ 1 <br /> <br />DONALD E. WOODLEY, IVC. R~ON COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 1§-S6 R~V 4/90 OFFICE COPY <br /> <br /> <br />