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MARION COUNTY BUILDING INSPECTION <br /> SENATOR ,BLDG. NO, 225 <br /> 220 IdlGH STRET?T NE ' <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> of a ref Istered builder, o <br />The work will be performed by a regiJered builder, <br />Other <br /> <br />OWNEF GARBER <br /> <br />SITUS ADDRESS <br /> <br /> ~URORA <br /> <br />DR 9'7'002 <br /> <br />NE <br /> <br />SIGNATURE OF APPLICANT: <br /> GATE: <br /> <br />TAX LOT 40437--900 CATEGORY. RE~IDEN] iAL <br />CONSTRUCTION TYPE 5-N OCCUPANCY: R-~ <br />~ CITY; UGS: NO OCCUPANT LOAD' <br /> <br />USE O¢ <br />MAILING <br /> <br />SUBDIVISION: <br /> <br />PHONE: <br /> <br />~i']'~ NUIViBER: 92-00208 <br /> VALUA'f i ON: <br /> <br />LOT <br /> <br />WIDTN <br /> <br /> ' BLOCK: <br /> <br />145b£p'fH <br /> <br />~F' RREG. LOT: NO 'CORN~RN© <br /> <br />CON'f'RAC'f'OR, NO. <br />CARDER <br /> <br />ARC~i'I'ECIf/ENGINEER~ NO. <br /> <br />PHONE: PHONE: <br /> <br /> i'rg~ <br />D~ELLiNG PLUPfSING <br />BNELL~NG 6LEC'FRICAL <br />OlNELLiNG ~'f'ATE SURCHARGE <br /> <br />TOTAL A,I~BT-.,.,.,.,.,.,.,.,.~SED FEES <br />PREVIOUS REC£IPTS <br />'FHI3 RECEIPT <br /> <br />~UANTITY <br /> <br />Atv~OU N t' <br /> $27 6, '1 6 <br /> <br /> $24.59 <br /> <br />$516.40 <br /> $o.oo <br />$516.40 <br /> <br />BALANCE DUE $0,00 <br /> <br /> 41380 <br />TYPE: iN CHECK ~: 0 <br /> <br />PAYEE; GA~ER <br />RECEIVED BY: c"l <br /> <br />* THiS ~S A VALID PER~i'f' * ]'HIS PERf*'ilT E~PIRES 180 DAY5 FRON ITS ISSUE DALE. ,IF <br />CONSTRUCTION C~ES FOR A PERIOD OF 180 BAYS, OR iF CONS'f'RUCTiON FAILS TO ~EE'f' ALL <br />REOUiR~I~EN'fS OF STATE LAY¢'~ AND ¢AARiON COUNTY BUILDING AND ZONING ORDINANCES, THIS PER, II' <br />~ALI_ BECOME NULL AND VOID. <br /> <br />ENERGY pAIfH: <br /> <br />SETBACKS: FR LS ~ RR SP <br />RENARKS: PLUmBInG & E~ECTRICAL ........................................................ <br /> <br />HEIGHT: TOTAL SQFT: 4?07 ~'T'ORIES~ 2 <br /> <br />DONALD E- A(,YOOLBY, f',IARiON CvOUN'f'y BUILDING OFFiCiAL / BY <br /> <br /> OFFICE COPY <br />~ORM # MC ~ ~-,b6 REV, 4/80 <br /> <br /> <br />