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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 /> 24HOU. OODE-^-P.ONE, 588-7904 <br />I1¢~ !e~[$~;e~egd~bliJhed~e~r ~)F~ropert~YelA~v~;~r,g~c,uePDYr'ese.ta[ivo SIGNATURE OF APPLICANT: <br />The work will be performed by a registered builder, <br />Other <br />I have read 8nd agree to the terms stated on the reverse side Ct DATE: <br />this document. <br /> <br />bwN~'I'E: 04/28/92 ~;iME.' 19: 39:01 TAX LOT: <br /> CATEGORY; <br /> <br /> BARB.ELL <br />SITUS ADDRESS: CONSTRUCTION YYPE: : OCCUPANCY; <br /> <br />RESIDENTIAL <br /> <br /> 9550 BATES ROAn SE CONTRACT CITY'. ; ; OCCUPANT LOAD: <br /> AUMSVILLE OR 97325 ~ <br />0sE NG :NO OF BEDROOMS: <br /> <br />!'MAILIN~ ADDR~Si PLAN' RP¥IEN ONLY <br /> <br />, SUBDIVlSIOr~: <br /> <br /> PO BOX 623 <br /> STAYTON 97383 <br /> ~HONE: '~'69-2874 SITE NUf4BER: 92-01502 <br /> VALUATION ~ $0.0o <br />LOT~ BLOCK: : SECTION'. TOWNSHIP: RANGE'. , ZONE; ' MAP: <br /> <br />:WIDTH: DEPTH; , AREA: UNITS: IRREG. LOT: : CORNER: <br /> <br />'TYPE: BUiLDiNG PERC4iT OR APPLiCATiON NO: <br /> <br />CC~TRACTOR, NO. <br />BETHEL. DARRELL <br />PO BOX 823 <br />STAYTON 97383 <br />PHONE~ 769-2874 <br /> <br /> ITFJ~ <br />FOOTiNG/FC~NDATION ONLY <br />AODi'rlONAL SURCHARGES <br /> <br /> 39641 <br />ARCrlITEC'F/CNGINEER, NO. <br /> <br />QUANTITY A~OUNT <br /> $25.00 <br /> <br />TOTAL A,,SSE,~SEB FEES <br />PRE¥iOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$26.25 <br /> $0.00 <br />$26.95 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE.* 'BETHEL, DARRELL :' 41684 <br /> RECEIVED BY: F"8 ................................................... :. .................... TYPE: OK OHB~K ~: 10881087 <br /> <br /> ;~ THIS IS A VALID PER~iT ~ THiS PE~i'r ~PiR~ 180 OA~ F~ <br />~SI'~CI'ION C~ FOR A PERIOD OF ~80 ~Y5, OR IF ~ST~CTi~ FALLS TO MEET ALL <br />R~IR~'FS O~ STATE ~ ~D ~RI~ ~NTY BUlL:DiNG ~D Z~iNG ORDIN~C~, THIS PE~I'F <br />SHALL BEC~E NULL ~D ~iD. <br /> <br />E~ERG~ PATH: <br /> <br />SETBACKS: FR 100 ~ lO RS 10 RR 30 SP <br />RFGs1ARI'r~: FOOTING FOURDA'rION'-FOR PO£E 8L~6 .............. <br /> <br />HEIGHT~ TOTAL ~ FT; 0 STORIES: <br /> <br />~C~ALD E. ~DL~, ~Ri~ ~NTY BUILDING OFFICIAL / BY <br /> <br />PLAN. ~%CT ion: <br /> <br /> OFFICE COPY <br />PORM # MC 15-56 REV, 4~90 <br /> <br /> <br />