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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: 588-8147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> f am performing work on a property I own or occupy, o <br /> I amaregiateredbuilderOR( )theauthorlzed rept'e~entative <br /> of a registered builder, <br /> The work will be performod by a recJlstered builder. <br /> Other <br /> I have read and agree to the terms stated on the reverse side of <br /> this document. <br /> <br /> DA'rE: 04/:Z9/92 <br />OWNER: BRANNON, <br /> <br />SI'(US ADDRESS: 00NSTRUO~ION TYPE; <br /> <br /> 20Y01 OLIr~5'rEAD RD <br /> AURORA <br /> <br />MAIUNG ADDRESS: <br /> <br />SAI'4E <br />WK ~ 538-3141 <br />PHONE: 678-1082 <br /> <br />'riME: 8:'~0:04 :' <br /> TAX LOT'. <br /> <br />74'180-1 O0 <br /> <br /> NE <br />OR 97002 ~O~:r~AST CITY: ' U~: <br /> : f"LARiON COUNTY ' NO <br /> <br />SiTE NU~ER: 92-01442 <br /> VALUAT I ON: <br /> <br /> 18 4S 1N <br />WIDTH'. ;DEPTH: AREA: 5. UNITS: ~ IRREG. LOT: NO CORNE~N0 <br /> <br />CATEGORY: <br />OCCUPANCY: <br />:OCCUPANT LOAD: <br /> <br />Ep1J <br /> <br />RES 1 DEN 1' i AL <br /> <br />NO OF REDROOMS: <br /> <br />MAP; <br /> 4 <br /> <br />'TYPE: f'4ECHAN i CAI <br /> <br />G%,IN'F RAC'f'OR, NO. <br /> <br />SAt, IE <br />~K ~ 538-,~141 <br />PHONE,: 678-1082 <br /> <br />PER~111' OR APPLICAI'ION NO: ,~9633 <br /> <br /> J, TIM <br />ARPL,[.N~CE OR Af.,'C~ORY (NOT <br />fflEC'HAN];CAL BASE FEE <br />MECHANICAL .~'f'A'rE ,~SURCI-IARGE <br /> <br />TOTAL ASSESSED <br />PRI,-~//CIJC5 RECE i PT:~ <br />THIS RECE,[ PT <br /> <br />(~AN'rlTY AIvIOMN'I' <br /> 1 $4,50 <br /> $10,00 <br /> $0.73 <br /> <br />~15.29 <br /> 15.23 <br /> <br />BALANCE EX,.IE $0.00 <br /> <br />PAYEE: RECEIPT NO: <br />RECEIVED BY: CL TYPE: CHECK ~: 0 <br /> <br />~ THIS iS A VALID PER,lIT * THI~' PERMIT EXPIRE~ 180DAY~ FRO~ ITS I,.%5~JE DATE+ IF <br />CONSTRUCTION C~ POP A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO r~IEET ALL <br />RE~UIREI~ENTS OF STATE ~ AND fCC~RION COUNTY BUILDIN6 AND ZONiN~ ORIDINANCE~, THiS PERI,tIT <br />~HALL BECOME NULL ANDVOID. <br /> <br />RB4ARKS~ FURN DUCT EXTENSION/ F1~39305 <br /> <br />DONALO E. WOODLEY. FtARiON COUNI'Y BUILDING OFPICiAL / BY <br /> <br />OFFICECOPY <br /> <br /> <br />