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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 /> I am performing work on a property I own or occupy. <br /> I am a registered builder OR ( ) the authorized representative <br /> of a registered builder, <br /> The work will be performed by a registered builder, <br /> Other <br /> I have read and agree to the terms stated off tile reverse side of <br /> this document. <br /> <br /> BATE: 09/09/92 TIME: 12:10:22 <br />: OWNER'. <br /> STEVENS, RUSS <br /> <br />Sl'f US ADDREBS'. <br /> <br /> 205 HOWE ST <br />DETROIT OR 97342 <br /> <br />OTHER NON-RESIDENTIAL BUILDINGS <br /> <br />~A~ LO'r: <br /> 90220-810 <br /> <br />CAT,GORY: <br /> RESIDENTIAL <br /> <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD: <br /> <br />SUBDIVISION; <br /> <br />PO BOX 524 <br />RAINIER OR 97048 <br />PHONE: 545-556-5543 <br /> <br />SITE NUMBER: 92-05007 <br />VALUATION: $4,000.00 <br /> <br />75 <br /> <br /> O1 10 5E RS <br />O~PT,: 150 AR~A: ~12.S0. UNIT :F NO YES <br /> <br />MAR: <br /> <br />TYPE: BUILDIN8 PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />STEVENS, RUSS <br />PO BOX 524 <br />RAINIER OR 97048 <br />PHONE: 54~556-$ <br /> <br /> 42055 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br /> ITEM QUANTITY AMOUNT <br />BUILDING FEE $44.50 <br />PLAN REVIEW $28.93 <br />BUILDING STATE SURCHARGE $2.2~ <br /> <br />PAYEE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$75.66 <br />$75.66 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVED BY: DM2 TYPE: CHECK ~: 0 <br /> <br />* THIS IS A VALID PERMIT. THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCE8, THIS PERMIT <br />SALL BECOME NULL AND VOID. <br /> <br />HEIGHT: 7 SETBACKS: FR 20 <br />TOTAL SQ FT: 264 LS-5 <br />STORIES: RS-S <br />PLAN.ACTION: RR~15 <br />ENER6Y PATH: SP <br /> <br />REMARKS: REPLACE ROOF OVER TRAILER <br /> <br />DONALD Ei WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~ORM if MC 15,56 REV. 4/90 OFFICE COPY <br /> <br /> <br />