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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 8100 - 4:30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Oth<zr____ <br /> <br /> DALE: TO/T'~/9~ II~E: 10t33+.52 <br />OWNE~ <br /> <br />TAX LOT <br /> 5?706-000 <br /> <br />CONSTRUCflON TYPE <br /> <br />5-N <br />: UGB <br /> <br /> NO <br /> <br />EVERGREEN <br /> <br />GATEGORY <br /> RES10EN T ~ Icl <br /> <br />PHONE: SiFE NUMBER: 13068 <br /> VALUAIJON: $3,120.00 <br /> <br /> bb 94 5F YES NO <br /> <br />fYPE: BUILDING PERI~llT OR APPLICAfION NO: <br /> <br />CONTR4CION, NO. 38238 <br /> <br />11373 ~fitl Creek Rd <br />Aurnsville, 97325-0000 <br />PHONE: <br /> <br /> 3608? <br />ARCHIIEC1/ENGiNEER, NO. <br /> <br />PHONE: <br /> <br /> 1fD.¢4 OUANTITY ANIOUNI <br />BUiLDiN~ PEg $44.50 <br />PLAN REYtEN $28.93 <br />BUILDING SlAf~ %>URCHARGE $2..23 <br /> <br />PREVIOUS R~EiPFS <br /> <br />$?5.6~ <br /> SO.DO <br /> <br />~ALANCE DUE $0.00 <br /> <br />PAYEE: <br />RECEIVbD BY: DlVl TYPEt CHECK ~; 0 <br /> <br />· tHi5 iS A VALID PER1VlI{ · ]HIS PE~;~I~i? EXPiR~ 180 L3AYS FRCf4 lis ISSUE DATE_ iF <br />CONSFRUCfI~N CEASES FOR A PERIOD OF 180 DAYS, OR IF ~NSFRUCFION pIAIL~ ~O MEEt ALL <br />REQUiREMENtS OF SfAfE LA~A~ AND NLAR~ON COUNIY BUILDING AND ZONING ORDZNANC~, fH[5 <br />~SHALL BECOME NULL AND <br /> <br />~EIBACK~: PR 10 LS 10 ~.10 RR 10 SP <br />R,~,'IARK~: CARRORf <br /> <br />HEiGH]: 11 TOIAL ~Q FIT: 3t2 STORIES: 1 <br /> <br />DONALD ~, NOODLEY, mARiON COUNTY ~UILDiN~ OFFiCiAL / ~Y <br /> <br />PLAN.ACII~ <br /> <br />~<,,~, ~C*S-~R~ ~,/~ OFFICE COPY <br /> <br /> <br />