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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 />SIGNATURE OF APPIJCANT <br /> DATE <br /> <br /> DATE: 05/04/92 I'[.ME: 10=.0.6:25 <br />OWNER' Th LO~: <br /> <br /> LIFFI,,JN'4DER C <br />SITUS ADDRESS: CONSTRUCTION TYP~: <br /> <br /> 8851 SMITH RD <br /> AUMSV ~ LLE <br /> <br />USE O~ SUILDING; <br /> <br />OR 9?325 <br /> <br />~E <br /> <br />5?6-65-O00 <br /> <br />CONTRACT CITY UGS <br />NIARi ON. COUN.I'.Y NO, <br /> <br />CATEGORY <br /> RE~i DEN 1 IAL <br />QC ~'UPANC~ <br /> <br /> R-3 <br />OCCUPANT LOAD <br /> <br />MAILING ADDRESS: ~N~IUP'AC'f'URED STRUCTURE ' ' <br /> <br />SUBDIVISION <br /> <br />2 <br /> <br /> 3290 8ALSAIvl DR S <br /> SALEM OR 97302 <br /> P'HONE: 36~-6418 ~iTE NUI¥1BER: 92-01640 <br /> VALUATION: <br /> <br />LOT. BLOCK: SECTION: TOWNSHIP RANGE ZONb <br /> 24 8S 2W SA <br /> 31.4 AC NO NO <br /> <br />TYPE: r4ANUFAC'fURED S'fRUCI'URE PERMZT OR APPLZCAI'~0N NOt 39638 <br /> <br />CONTRACTOR, NO. <br />LIFFLANDER C <br />3290 BAL~A~ DR <br />SALEM OR 9?302 <br />PHONE: 363-6418 <br /> <br /> I'fEM <br />MANUFACTURE0 STRUCTURE ZONING ~&URCHARGE <br />~NNUFACTURED STRUCTURE ~TORAGEPEI~I[~ <br /> <br />TOTAL A..<~ED FEE~ <br />PREVtOUS RECEIPTS <br />THiS RECEZPT <br /> <br />qUANTITY <br /> <br />$15.9o <br />$25.09 <br /> <br />$40.00 <br />$40.00 <br /> $0 <br /> <br />BALANCE DUE $0. O0 <br /> <br />PAYEE: RECEIPT <br /> <br /> RECEtVED BY: DM2 TYPE; CHECK ~t 0 <br /> <br /> THIS [SA VALID PER,liT ~ THiS PEI~liT FEE O OVERS ONE [NSP~TI~ ~D ~E REZNSP~TZ~. ALL <br /> BL~KiNG, STAZR [NSTAL~T[~, P~[NG, ~I~L, ~D EL~TRZ~L ~NECTI~S ARE R~IRED T <br /> ~E ~PLETED U~ R~T ~R THE FI~T [NSP~TI~. IP ~ OF THE ZT~ ARE /N~PLETE, <br /> ADOIT/~AL IN~PECTZ~ F~ ~1~ BE R~iRED. PE~IT iS VALID ~R ~[X ~THS ~LY. R~ED FOR <br /> ~THS U~ ~RITT~ R~T ~R ~ ~SI~, PRIOR TO THE ~PI~T/~ DATE OF THE <br /> ~ST~CTI~ FAi~ TO ~T ALL R~IR~TS OF STATE ~ ~D ~RI~ ~NTY 8U/LOiNG <br />Z~ING O~IN~C~, THIS PE~iT ~ALL 8~E NULL ~D ~ID. <br /> <br />SETBACKS: FR 20 LS 10 RS 10 RR 30 SP .................... <br />RENARKS: <br /> <br />DONALD E. ~¢OODLEY <br /> <br /> <br />