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SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br />SALEM;OREGON 97301 <br /> <br /> PHONE: B88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I am performing work on a property I own or occupy, <br /> I am a registered builder OR ) the authorized representative SI~NAYURS OF APPLICANT; <br /> of a registered builder, ¢ <br /> The work will be performed by a registered bui{der, <br /> Other <br /> I have read and agree to the terms Stated or~ the rovorse side of DATE; <br /> this document. <br /> <br /> DATE: 10/12/92 TINE: 9:23:38 <br /> OWNER: TAX LOT: <br /> GREEN, JOE <br /> <br />) ~ITUS ,ADDRESS; <br /> <br /> 11667 FALCON CT NE <br />AURORA OR 97002 <br /> <br /> RESIDENTIAL ACCESSORY STRUCTURES <br /> <br />i MAILING ADCRESS; SUBDIVISION: <br /> CENTURY MEADOWS ~4 <br /> 20 WALKING WOODS DR <br /> LAKE OSWEGO OR 97035 SITE NUMBER: 92-01919 <br /> PHONE: 636-7918 VALUATION: <br /> <br /> i CATEGORY; <br /> RESIDENTIAL <br /> <br />CONSTRUCTION TYPE: OCCUPANCY: <br />5-N <br /> <br />$2~000.00 <br /> <br />LOT: :BLOCk: 'S~dTioN: ..... :fOWN§~iPi ...... ~E; ..... i~6~E ..... ~Pi <br /> <br />TYPE: BUILDING PERHIT OR APPLICATIO~ NO: 42788 <br /> <br />CONTRACTOR, NO. 57652 <br />JOE GREEN INVESTMENT CO <br />P 0 BOX 759 <br />PORTLAND, 97207-000 <br />PHONE: 685--9685 <br /> <br />ARCHITECT/ENGINEER, <br />PHONE: <br /> <br /> ITEN <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING - INVESTIGATION/DOUBLE FEE <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />NO. <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $32.50 <br /> $21.13 <br /> <br /> $1.65 <br /> $I.63 <br /> <br />$89.39 <br />$89~S9 <br /> $o.oo <br /> <br />BALANCE OUE $0.00 <br /> <br />PAYEE: <br />RECEIVED BY: cr .................................. <br /> <br />TYPE: CHECK ~: 0 <br /> <br />* THIS I$ A VALID PERMIT. THIS PERMIT EXPIRES 180 DAYS F~OH ITS ISSUE BATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 BAYS, OR IF CONSTRUCTION FALLS TO MEET ALL <br />EQUIRENENTS OF STATE LAWS AND MARION COUNTY BUILDINB AND ZONING ORDINANCES, THIS PERMIT <br />3ALL BECOME NULL AND VOID. <br /> <br />ENERGY PATH: <br /> <br />HEIGHT: SETBACKS: FR 10 <br />TOTAL SQ FT: 200 LS-"'5 <br />STORIES: <br />PLAN.ACTION: <br />ENERGY PATH: <br /> <br />MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />