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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 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing wofk on a property I own or occupy, <br />lamaregistered builder OR( )theauN~odzedrepresentative <br />of a registered builder, <br />T~e work will be performed by a resistered builder. <br />Other <br /> <br />this documenL <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE: <br /> <br />°W~TE: 08/2'3/90 l'iME: 8:41 <br />'SITUS ADORES[tOOOVER, LARRY <br /> <br />TAX LOT: <br /> <br />SONSTRUOTION TYPE: 90080--020 <br /> <br />ccc mANCV: RES 1DF-...N'I' 1AL <br /> <br /> 21 ;3 6'FH S'F <br />AUMSV J; LLE OR 97325 <br /> <br />' SON'T'RACT CITY: <br /> <br />AUMFEV i LLE <br /> <br />NO <br /> <br />OCCUPANT L~ <br /> <br />RESIOEN'rlAL Af.%;ID58ORY 8'FRuc'ruRE,.%. <br /> <br />PO 80X <br />AUI~VILLE OR 97325 <br />PHONE: 1'49-1401 <br /> <br /> MERRIFIELDS ADDII'ION <br /> <br />~ITE NUIV~ER: 10928 <br />.R~N~ALUATiON: zo,e. <br /> <br />WIDTH: <br /> <br />5 DEPTH: i I AREA; ~>5 UNITS: 8,~ iRREG. LOT'. 2W CORNER: <br /> <br />TYPE; BUILDING PE~I'F OR APPLICA'rlON NO: <br /> <br />CONTRACTOR, NO. <br />HOOVER, LARRY <br />i:,'OBOX 972 <br />,NJMSVILLE OR 97325 <br />PHONE: '149~401 <br /> <br /> , 1T~3~1 <br />BUILDING FEE <br />PL/~ RE¥1E~ <br />FLEET .51JRCHARGE -ZONE 3 <br />BUiLDiNG 8TA'rE .SURCHARGE <br /> <br />PAYEE: <br /> <br /> 26342 ~ <br />ARCHiTECT/ENGINEER, NO. <br /> <br />(~JANI' i I'Y <br /> <br />Ar4OUNT <br /> $44.50 <br /> 28.93 <br /> <br /> 2.23 <br /> <br />:TOI'ALA,.,.<~ED FEES $79,50 <br />PREViOJGREY,.7,EIPTS $79+50 <br />'rHI$:RFJ~EIPT $0.00 <br />eAI-~NOE~U~ $o.0o <br /> <br /> RE~EIVEB BY: P8 ,]',':: TYPE: CHE~K ~: O <br /> <br /> THIS IS A VALID PER~iT · ~80 DAYS FRO~I iT5 I~E ~'l'g. IF <br />~S'r~cTl~ C~ F~R A~PERIOD OF180 ~, ORiF~S'r~CTi~ FAi~ TO MEET ALL <br />R~IRE~ENI'S OF STATE ~ ~D ~RI~ ~NI'Y BUilDiNG ~D Z~ING ORDiN~C~. THiS PER, il' <br />~ALL DE~E NULL ~O ~ZD. . <br /> <br /> SETBACKS: FR 10 LS 10 RS 5 RR 5 SP <br /> RIP3'4ARKS: GARAGE ALREADY PARFIALL¥ BUILT ......... <br /> <br /> HEIGHT: 9 TOTAL .SQFTt 432 <br /> <br /> DONALD E+ NC'.'.'.'.'.'.'.')ODLE¥, MARION COUNTY BUILDING OFfICiAL / 8Y <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. <br /> <br />PL,A¢~. ACI'I 0N: <br /> <br /> <br />