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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 /> The work will be performed by a registered builder. <br /> Other. <br /> <br /> CATE: 08/25/92 <br /> <br /> YOUMANS TOM RESIDENTIAL <br /> §ifus A'OD,ES~: .......................... ;'" I'8(~¥A'O~Ti8'~' "E~i~'i .......................... <br /> <br /> AUHSVILLE OR 97~05 ~MARION COUNTY NO <br /> <br /> U~E OF BUILDING: ?0 OF 8EORO0~S: <br /> RESIOENTIAL ACCESSORY STRUCTURES <br /> <br /> P.O. BOX 632 <br /> ~TAYTON, OR 97~83 SITE NUHBER: 92-0206i <br /> PHONE: 7~9-3570 VALUATION: $8,640.00 <br /> <br /> .8.3 lB ~_ .__.AB <br />' <br /> <br />TYPE: BUILOING <br /> <br />CONTRACTOR, NO. <br />YOUNANS~ TON <br />P.O. ~OX 632 <br />STAYTON, OR 97383 <br />PNONE: 769-3570 <br /> <br />PERMIT OR APPLICATION NO: 40519 <br /> ARCHITECT/ENGINEER, NO~ <br /> <br /> ITEM <br />8UILOIN6 FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />PHONE: <br /> <br /> TOTAL ASSESSED FEES <br />: PREVIOUS. RECEIPTS <br /> THIS RECEIPT: <br /> : <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $74_50 <br /> $48.45 <br /> ~3.7~ <br /> <br />$77.89 <br />$52.50 <br /> <br />$0.00 <br /> <br /> PAYEE; YOUNANS, T~ F'~:..:.' ' :'.:::'::::: , 44180 <br /> RECEIVED BY: NB - TYRE: CK CHECK ~: <br />* THIS IS A VALID PERMIT; 'THIS'PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE IF <br />CONSTRUCTION CEASES FOR ~:PEEIO9 OF;lBO DRYS, OR IF::CONSTRUCTION FAILS TO ME~T ALL <br />E~UIREMENTS OF STATE EA~S ~ND MAR:ION COUNTY'Bu[LDING ~ND ZONING ORDINANCES, THIS PERMIT <br /> SALL BECOME NULL AND VOID; : .. <br /> <br /> 10 SETBACKS: FR 20 <br /> TOTAL:$Q:FT: 1440 LS-'5 <br /> SEPTIC: BY ................... DATE_i~=:~===i=:~_ STORIES: 1 RS~5 <br /> PLAN.ACTION: RR~S <br /> ENERGY PATH: SR <br /> <br /> REMARKS: STORAGE 8LDG (POLE) APPROVEDFOR PRIVATE NONCOMMERCIAL USE ONLY <br /> <br />DONALD E. WOOOLEY, MARION cOUNTY BUILO!NG OFFICIAL <br /> <br />FOHM # MC 15.56 R~', 4/90 OFFICE COPY <br /> <br /> <br />