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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:: 888-5147 8::00 - 4:30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br /> DATE; 09/22/<)2 lIME: 15:46:57 <br />OWNER BREITENBUSH COMMUNITY <br /> <br />SIGNATURE OF &PPI ICANT <br /> DATE <br /> <br />SITI IS ADDRESS <br /> <br /> DEIROIf <br /> <br />8REIIENBUSH UPPER RESO SE <br /> OR <br /> <br />0 ~N._S~ R UOXlO ~ ~XPE <br /> <br />~¢%'}~i}¢,f ~UNTY <br /> <br />USE OFBU,LD~NGLE FAMILY DWELLINGS <br /> <br />PO BOX 578 <br />DETROI1 97542 <br />PHONE: 854-5514 <br /> <br />SUBDIVISION <br /> <br /> SITE NUHBER: <br /> VALUATZOH: <br /> <br />q~r~s~OS N'r T AL_ <br /> <br />OCCUPANT LOAD <br /> <br />92-00862 <br /> $5,000,00 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> 20 93 <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO,, <br />BREITENBUSH COh~UNITY <br />PO BOX 578 <br />DETROIT 97542 <br />PHONE: 854-5514 <br /> <br /> ITEH <br />SUILOING FEE <br />PLAN REVIEW <br />8UiLOiN6 STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE; <br /> <br /> 41759 <br /> <br />RCHIIEC /I:NGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANIlTY <br /> <br />AMOUNI <br /> $50_5G <br /> $16.41 <br /> $2.55 <br /> $2.55 <br /> <br />$0_00 <br /> <br />BALANCE DUE $0,0o <br /> <br /> RECEIVED BY: PB TYPE; CHECK ~; 0 <br /> <br />~ THiS IS A VALID PERMIT. THIS PERHIT EXPIRES I80 DAYS FROM ITS iSSUE DATE. IF <br />CONSTRUCTION CEASES FOR R PERIOG OF [80 DRYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />EQUIRENENTS OF STATE LAWS AND MARION COUNTY 8UILOING AND ZONING ORDINANCES, IHIS PERMIT <br />SALL BECOME NULL AND VOID. <br /> <br />HEIGHT: 14 SETBACKS: FR 20 <br />TOTAL SQ FT: 256 LS 10 <br />STORIES: 1 RS~IO <br />PLAN.ACTION: ER_50 <br />ENERGY PATH: 0 SP <br /> <br />REMARKS: 1 ROOM CABIN ONLY NO PL <br /> <br />OOHALO E. WOODLEY, MARION COUNTY 8UILOING OFFICIAL / 8Y <br /> <br />OFFICE COPY <br /> <br /> <br />