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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 /> I h~ve read and agree to the terms StBted on the revorso side of <br /> <br /> OAJE; 09/22/92 TIME: 15:20:54 <br /> <br />OWNER BREITENBUSM COMMUNITY <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> T~6~4 -000 <br /> <br />DEfROIT <br /> <br />BREITENBUSN UPPER RESO SE <br /> OR <br /> <br />use or eUlLD~NGLE FAMILY DWELLINGS <br /> <br />PO BOX 578 <br />DETROIT 97542 <br />PHONE: 854--3314 <br /> <br />SUBDIVISION <br /> <br /> SITE NUMBER: <br /> VALUATION: <br /> <br />92-00862 <br /> $S,000.00 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> 20 <br /> <br />WIOTII DEPIH AREA 8~ . UNIT~ C <br /> <br />RANGE ZONE MAP <br />7E P 102 <br /> <br />LOT CO~R <br /> <br />TYPEs BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, <br />BREII'ENBUSB COMMUNITY <br />PO BOX 878 <br />DETROIT 97342 <br />PNONE: 854-3314 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE: <br /> <br /> 41756 <br />ARCHIfECT/ENGiNEER, NO_ <br /> <br />PH0NE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QOANT I 'FY <br /> <br />ANUUNT <br /> $8U. ~0 <br /> $52,85 <br /> <br /> $2:. 55 <br /> <br />$S8-39 <br />$88.39 <br /> $0.00 <br /> <br />BALANCE DUE $O.0G <br /> <br /> RECEIVED BY: P8 ................................................. TYPE: CHECK l~: 0 <br />· THIS IS A VALID PERMIT. THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SALL BECOME NULL AND VOIO. <br /> <br />REMARKS; <br /> <br />DONALD E. <br /> <br />L ROOM CABIN NO PL <br />WOODLEY <br /> <br />HEIGHT: 14 SEIBACKS: FR~20 <br />TOTAL 9Q FT: 2~6 LS.]0 <br />STORIES: I RS~.lO <br />PLAN.ACTION: RR 50 <br />ENERGY PATH: 0 <br /> <br />MARl ON COUNTY BUILDING OFFICIAL / BY _ ............... t._~._ ............... <br /> <br /> OFF,C5 COPY <br />FORM # MC 16-$6 RE¥ 4/90 <br /> <br /> <br />