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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:: 58845147 8::00 - 4:30 <br />24 HOUR CODE-A-PRONE:: 588-7904 <br /> <br />HA/FLEI_D, ~fkVEN C_ <br /> <br /> ?932 fER~4ANCE LAN8 <br />AUMSVI LLg OR 9?325 <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> TAX LOT CATEGORY <br /> R,gEi DkN T ,(AL <br /> CONSTSUCTION TYPE OCCUPANCY <br /> <br /> 5-N . <br /> CONTRACT CITY U~B OCCUPANT LOAD <br /> <br />MARION COUN J Y NO, NO <br /> <br />MAILING ADDRESS ~INGLE PAM£LY DWf;LLiNGS <br /> <br />SUBDIVISION <br /> <br />2269 ~ALEM'-'DALLA~ HWY <br /> <br />I OT BLOCK <br /> <br />WIDTH :DEPTH <br /> <br />SECTION TOW ~H~ <br /> <br />~i 'l ~' NUMBER: 12426 <br />VALUA r ION: $0 . 00 <br />RANGE~ ZONk~ MASs~ <br />IRREG LOT CO~NER <br /> NO NO <br /> <br />TYPE: BUILDING PERMII OR APPLiCAFiON NO: <br /> <br />CONiRACfOR, NO. <br />HAfFigLD, SI~V~N C+ <br />g2~9 SALblV]""DALLA5 HWY <br />5ALE~, OR 9'?304 <br /> <br />ADDI110NAL BUILDING PbES <br />BUILDING 5fAI'E ~R~qARG~ <br /> <br />PAYEE: HAfPIBL~, 5fEVgN C. <br />RECEIVED BY~ pr <br /> <br /> 30?06 <br />ARCHi1ECT/ENGiNEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL A$SE~BD FEES <br />~HI~ RECEIPT <br /> <br />(AJANI[IY <br /> <br />Afv!OUNI <br /> $10.00 <br /> $0.50 <br /> <br />$10.50 <br /> $0_00 <br />$~0.50 <br /> <br />BALANCk DUE $0_00 <br /> <br /> 3243~ <br />IYPE: CA CHECK ~: 0 <br /> <br />C~SfRUCIiON CEASb~ ~OR A PERIOD OF 180 DAYS, OR IF CON~IRUC'f'iON FAILS fO MB~t ALL <br />~(.JUIRgNENFS OF SFAI~ LA~ AND MARION COUNTY BUILDING AND ZONING ORDINANCE5, FHi~ PERMII <br />5HALL 8~COME NULL AND VOID. <br /> <br />~EfBACKS: FR LS ~ RR SP ....... <br />REMARKS: DE~O'OI~E $IOR?'RES R~35B? <br /> <br />~ONAgU ~. NCX)DLEY, MARION COUNIY ~U~LDiNG OFF]CiAL/ ~¥ <br /> <br />~oR~, Mc ~-~ ssv 4~o OFFICE COPY <br /> <br /> <br />