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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STR~:ET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE:588-5147 8:00- 4:80 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other_ <br /> <br />I have r'ead &nd agree to the terms stated on the reverse side of <br />this document, <br /> <br /> OA;I'E; 04/21/92 TIME; '1];36;01 <br /> <br /> ORR, LARRY 57706-000 <br />~l~bS ~DdRESS: CON~+RU~ION ~PE; OCCUPANCY: <br /> <br /> 3~0 EVERGREEN ~R 38ddN~R~C~bJT~; ' U~; ;OCCUPANT LOAO: <br /> AU~ViLLE OR 9?325 <br /> AU~V~LLE : NO <br /> <br />MAILING ADDRESS; ~S'IDENT'IAL: 'AC~E~ORY ~f RUCiURES, SUBDIVISION: <br /> <br />PHONE: SiTE NUMBER: 92-0]534 <br /> VALUAT iON: $3, <br /> ,'s~dfioNi fo~/~sHi¢i ~AM~E: ;'z&~N; <br /> <br /> 3~ ~ 25 8~ 2~ RM <br /> 55 85! 4675. SF' NO: NO <br /> <br />TYPE: BUiLDiNG <br /> <br />CONI'RACTOR, NO. <br />ORR, LARRY <br /> <br />PERMIT OR APPLtCA'f'iON NO; <br /> <br /> 39444 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: PHONE: <br /> <br /> ITEM <br />BUiLOiNG FEE <br />PLAN REVIEW <br />BUiLDiNG STATE SURCHARGE <br /> <br />QUANfITY <br /> <br />TO'f'AL A~S~ED FEES <br />PREViOUS RECEIPT5 <br />THIS RECEIPT <br /> <br />A~4OUN'i <br /> ~44.50 <br /> 28.93 <br /> $2.23 <br /> <br />$?5- 8~ <br />$75.55 <br /> $o.0o <br /> <br />BALANCE <br /> <br />PAYEE:; <br />RECEIVED BYt Dirt2 <br /> <br />TYPE; CHECK ~: 0 <br /> <br />* 'fHiS i5 A VALiO PER]VIIT * THIS PER~I'f EXPIRES 180 DAYS FROM iTS i~E DATE_ IF <br />CONS'fRUC'f'1ON CEASE~ FOR A PERIOD OF 180 DAYS, OR iF OONS'r~c'rION FAILS TO ~E'I' ALL <br />REQUiREMeNTS OF STATE LAWS ANDNARiON COUNTY BUILDING AND ZONING ORDINANCES, 'I'H.[S PERMlf <br />SHALL BECOME NULL AND VOID. <br /> <br />ENERGY PAr'H: <br /> <br />SEI'BACKS: FR 10 LS !0 RS 10 RR 10 SP <br />REMARKS; CARPOR'~ ........................ <br /> <br />HEiGHf: 11 i'O'T'AL SQ FT: 312 STORIES: 1 <br /> <br />DONALD E, WOOGLEY, MAR~ON Cv,,~JN'f'Y BUILDING OFFICIAL / BY <br /> <br />PLAN ..... <br /> .ACTION% <br /> <br /> OFFICE COPY <br />FORM ~ MO 15-56 REV, <br /> <br /> <br />