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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 />T am ~ regiEtered builder OR f ) the authorized representative <br /> <br />The work will be rerformed by a registered builder <br />O~her. <br /> <br /> I have read end agree to the terms st~ltod on the reverse side of <br /> this document <br /> <br /> DATE: 08/18/92 TIME: 10:4B:59 <br />OWNER <br /> PATTON, BAVIB <br /> <br /> 12602 FRY ROAD NE <br />AURORA OR 97002 <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX <br /> <br /> CONSTRUDTION TYPE <br /> <br />USE OF SUILDING <br /> O'INER NON-RESIOENTIAL BUILOIN~S <br /> <br />MAILING ADDRESS <br /> <br />SUSDWISION <br /> <br />RESIDENTIAL <br /> <br />NO OF BEBROOMS <br /> <br />LOT <br /> <br />WIDTH <br /> <br />PHONE: 678-2640 <br /> <br /> BLOCK SECTION <br /> 22 <br /> DEPTH AREA <br /> <br />SITE NUMBER: 92-01165 <br />VALUATION: <br /> <br />TOWNSHIP RANGE ZONE <br />4S 1W EFU <br />UNITS IR~G LOT <br /> <br />$0.00 <br /> <br /> MAP <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO. <br />PATTON, OAVIO <br /> <br />PERMIT OR APPLICATION NO: <br /> <br /> 58860 <br />ARCHITECT/ENGINEER, NOv <br /> <br />PHONE; 678'-2640 PHONE: <br /> <br /> ITEM QUANTITY AMOUNT <br />ADDITIONAL BUILOING FEES $36-75 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$56.75 <br />$56.73 <br /> $0_00 <br /> <br />BALANCE DUE $0.00 <br /> <br />TYPE: CHECK ~: 0 <br /> <br />PAYEE: <br />RECEIVED BY: PB .................................... <br /> <br />· THIS IS A VALID PERMIT. THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br /> <br />HEIGHT: 14 SETBACKS: FR <br />TOTAL SQFT: 864 <br />SIORIES: 1 RS <br />PLAN.ACTION: RR <br />ENERGY PATH: <br /> <br />SALL BECOME NULL AND VOID. <br /> <br />REMARKS: PLAN REVIEW ONLY ALREAOY ISSUED PERMIT AND PAID BLOC FEE <br /> <br />DONALD E. WOOQLEY MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15,56 REV 4/90 <br /> <br /> <br />