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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 /> of a registered builder. <br /> <br /> Other <br /> <br />DATE: ~,q/07/92 TIH£;..~.-'.2q,:,00 ~ ................................... <br />' ROSE, FRANKLIN ~ RESIDENTIAL <br /> ~ ~ dccuPAN~: <br />~$'1~0~"~5~ [ CONSTRUCTION TYPE: <br /> <br /> i~44 JANES WAY SE [6CCU~xN~LoA~ <br /> AUHSV[LLE OR 97325 HAR[ON COUNTY~ NO i <br /> <br /> RESIDENTTAL ACCESSORY STRUCTURES <br /> <br /> 52~0 RIVER ROAO N ~[000 <br /> KE[ZER 97305 OFFICE ~93-3~24 X-350 ~ SITE NUMBER= 92-0~199 <br /> PHONE: ~90-9553 ~ VALUATION: $10.752~00 <br /> <br /> ~EPTH' [AREA UNTS ~ RREG. LOT; CORNER; <br /> W~D~H'. i ' 1.16 ~ AC N0 NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION ilO: <br /> <br />CONTRACTOR, NO~ <br />ROSE, FRANKLIN <br />5210 RIVER ROAD N <br />KEIZER 97305 OFFICE ~9~-~624 <br />PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br /> 42404 <br />ARCHITECT/ENGINEER, NO~ <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSED ,FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT <br /> $86.50 <br /> $56.23 <br /> <br />$151~39 <br />$151.39 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />ENERGY PATH: <br />REMARKS: <br /> <br /> PAYEE: <br /> RECEIVEO BY: cr ........... ............ TYPE: CHECK ~: 0 <br /> <br />* THIS IS A VALID PERHIT. THIS PERMIT' EXPIRES'lBO DAYs FROM iTS iSSUE DATE. IF <br />CONSTRUCTION CEASES FOR: A PERIOD ~F [80~DAYG,~ OR,IF CONSTRUCTION FAILS TO NEET ALL <br />EQUIREMENTS OF STATE LANS,.AND.HAR~DN COUNTY,BUILOIRGANO ZONING ORDINANCES, THIS PERMIT . <br />GALL BECOME NULL AHO VOID. <br /> <br /> TOTAL SQ FT: 896 LS 5 <br /> S" i RS~S <br /> STORIE <br /> PLAN.ACTION: RR~5 <br /> ENERGY PATH: SP~___ <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILOING OFFICIAL / 8Y P~___ <br /> <br /> OFFICE COPY <br />FORM # MO 1 ~-~6 REV, 4/90 <br /> <br /> <br />