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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 />Other· <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />owr, l~ATE: 04/t~9/91 I'iME: 15;04:29 TAX LOt <br /> <br /> PAT ION, DAVID <br />SITUS ADDRESS CONSTRUCTION TYPE <br /> <br /> · ~ONTRACT CITY 5U~B <br />12602 FRY ROAD NE <br />AURORA OR 97002 <br />USE or BUlLOING 'f~RION COUNTY NO <br /> <br />MAILING ADDRESS R~IO~ rIAL A(J'cC~R~ STRUCTURES SUBOlVlS~O~ <br /> <br /> CATEGORY <br /> <br /> RESi DEN ! iAL <br /> <br />! OGCU':'ANT ~o~-1 <br /> <br /> PHONE: 6'f8-2640 BIlE NU~4~ER: 12726 <br /> <br />LOT BLOCK SECTION TOWNSHIP ~ANc. V~ALUA [ ION: ZONE $5,6DO,. O~AP <br /> <br />WIDTH OEPTN AREA 2~ UNITS 4S IRREG LOT <br /> <br />NO NO <br /> <br />lYRE: BUILDING <br /> <br />CON1RACI'OR, NO. <br />PAr'ToN, DAVID <br /> <br />PERMIT OR APPLICATION NO: <br /> <br /> 31553 <br />ARCHiTEC1/ENGINEER, NO. <br /> <br />PHONE: 678-26~.0 <br /> <br /> ifE~ <br />BUiLDiNG FEE <br />PLAN RE¥IE~ <br />BUILDING S'IA'T'E SURCHARGE <br />ZONING ~RCHARGE <br /> <br />PHONE: <br /> <br />PiAY~E: <br /> <br />TOTAL A~ED~SEO FEES <br />PREVIOJS RFJCEIPf'S <br />THiS RGC51PI <br /> <br />0UAN 1 1TY <br /> <br />A~UN'T <br /> <br /> $36.73 <br /> $2.8~ <br /> $2,83 <br /> <br />98.89 <br />98.89 <br />$o.oo <br /> <br />DUE $0.8Q <br /> <br /> RECEIVED BY: PB TYPE: CHECK ~ 0 <br /> <br /> $ iHI5 I~ A VALID PERMIT <br />CONGf'RUCTiON C~ES FOR A PERIOD OF 180 DAY~, OR IF ~S'f~Ofl~ PAI~ f'O MEET ALL <br />REtiREMeNTS OF $'I'Af6 LA~ ~0 ~RI~ ~NlY BUILDING ~O ZONING ORDINANCES, THiS PEril <br />~ALL BEC~E NULL ~O <br /> <br />S_TBACK$: PR 20 L~ 10 R~ 10 RR 30 SP ~ ,. <br />REMARKS: ~FOP, AGE BLOC R~'F444 ~ADPROVED FD~ PRIVATE NONC~rc~4ERCIAL USE ONLY <br /> <br />BEiGHI: 14 fO]AL SO Fi: 864 STORIES: 1 <br /> <br />DONALD E_ NDODLEW, MARION COUNTY BUILDING OFFiCiAL / BY <br /> <br />PLAN-ACTION: <br /> <br />FORM ~ MC ~5-56 REV 4/90 OFFICE COPY <br /> <br /> <br />