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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREET NE <br /> SAW:M, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I am performing work on a property I own or o¢¢ugy, <br /> I am a registered builder OR ( ) the authorized representative SIGNATURE O~ APPLICANT; <br /> of 8 registered builder, <br /> The work will be performed by a registered builder, <br /> Other <br /> I have read and agree to the terms stated On the reverse side of BATE'. <br /> this document. <br /> <br /> DATE: 08/25/92 TIME: 8:21.;37 <br />; OWNER: ; T×X LC,~ <br /> LAKEWOOD UTILITES LTD COMMERCIAL <br /> <br />, SITUS ADDRESS; CONSTRUCTION TYPE: <br /> 5-N N,-1 <br /> 13269 DAIQUIRI LAKE DR NE ............... <br /> ~ OCCUPANT LOAD~ <br /> AURORA OR 97002 ~ C~TC,uNTY L~, : <br /> <br /> PUBLIC WORKS AND UTILITIES BUILDINGS . <br />MAILING ADDRESS: ........... i ~G ACi,2i~ib-~i .................. <br /> <br /> P.O. 71 ............................. <br /> SALEM, OR 97309 SITE NUMBER: 92-02907 <br /> PHONE: 244-4561 ; VALUATION: $1L,O00.o0 <br /> <br /> 22 48 1W RS 5 <br /> WIDTH: DEPTI-i: AREA; UNfTS'. IRREG. LOT'. ! CORNER; <br /> 20 83 8F YES : NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO.. 47665 <br /> DA NEAL CONSTRUCTION <br />~170 SW RIVERFRONT TERRACE <br />WILSONVILLE, 97070 <br />PHONE: 682-0585 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br /> 41824 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $17.50 <br /> $11.38 <br /> $0_88 <br /> $0,,8B <br /> <br />$50.64 <br /> <br /> $0_00 <br /> <br />BALBNCE DUE $0~00 <br /> <br /> RECEIVED BY: PB .................................... TYPE: CHECK ~: 0 <br /> <br />* THIS IS A V~LID PERMIT. THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE D~TE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF O8NBTRUCTION FAILS TO HEEl ALL <br />EQUIBEMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br /> <br />BALL BECOME NULL AND V0ID. <br /> <br />HEIGHT: <br />TOTAL SQ FT: <br />STORIES: <br />PLAN.ACTION: <br />ENERGY PATli: <br /> <br />REMARKS: FOOTING FOR TOWER <br /> <br /> SETBACKS; FR..20 <br />200 LS.~5 <br /> RS 5 <br /> RR 2~ <br /> Ss] ....... <br /> <br /> ...... <br /> <br />DONALD E~ WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />