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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 />lam performing work cna property I OW. or occupy, <br /> <br />of a registered builder- <br /> <br />.0WNb~'f'E~04/28792 'FIME:10.:.38:46 <br />51TUB ADDRESS: <br /> <br /> 9550 8ATE~ ~)AD SE <br /> AUMSVI LLE OR 9?325 <br /> OOJN 1:¥ ~ NO <br />USE OF BUILDING; <br /> <br />TAX LGT: CATEGORY[ <br /> RES! DEN1 I~ <br /> <br /> R-3 <br /> <br />MAiI. IN~ ~,[~DRE~Si P[J~ REVI EH 'ONLY ............ : ~US[~IV~i~Ni <br /> <br /> RE) BOX 623 <br /> STAY'tON 97389 <br /> PHONE: 769-2874 BITE NUFBER: 92-01502 <br /> <br />WIDTH: DEPTH'. : AREA; ~:~ UNITS: 8S IRREG. LOT: cG~NE~: AR <br /> ~ !,5 : AC N~,~ ~ <br /> <br />4,8¸ <br /> <br /> TYPE: BUiLDiNG PERI'Iii' OR APPLICATION NO: 39640 <br /> <br /> CON'fRAo'rOR. NO. AR%THi'f'ECT/ENGiNEER, NO. <br /> BETHEL, DARRELL <br /> ~ BOX 62~ <br /> S'fAY'f~ 9738~ <br /> ~E: 769-2874 <br /> <br /> I T~ <br /> FOOT iNG/F~NBA'f' I~ ~LY $25. O0 <br /> ADD/TIDAL ~A~ $1 _ 25 <br /> <br /> TOTAL ~6~D F~ $2~.25 <br /> PR~I~S RECEIPTS ~0.00 <br /> THiS RECEIPT $26.25 <br /> <br /> DANCE ~E $0. O0 <br /> <br /> PAYEE: BETHEL, DARRELL ~1683 <br /> RECEJVEB BY: ~ .................................. Z.:= ........... rYPE. CK ~g%K ~: 10881087 <br /> <br />* 'f'H[S iSA VALID PE~tT * TH[8 PE~[T ~P]R~ 180 ~YS F~ J'rs [~E ~E. [F <br />C~ST~C'f[~ C~ FOR A P~R[OD OF 180 ~YS, OR ZF ~S'i'~CFI~ FA~ TO ~EE'r ALL <br />RE, trna'rs OF STATE ~ ~B ~R[~ ~NTY BU[LDJNG ~D Z~[NG ORDIN~C~, 'f'HiS PE~z'r <br />~ALL BEdE NULL ~O VOID. <br /> <br />~4 ERGY PATH: <br /> <br />5EI'BACK~: FR 100 L~ 10 R~ 10 RR 30 SP <br />R~RKSz ~TiNG F~R~'rI~'"'~LY ...................... <br /> <br />HEI~I': TOTAL ~ FT: 0 ~l'ORl~: <br /> <br />~ALO E. ~O~EY, ~RI~ ~NTY BUILDING OFFICIAL / BY <br /> <br />PLAN.ACTiON: <br /> <br />OFFICE COPY <br /> <br /> <br />