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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 pe forming wok on a property I own or OCCUBy. <br />l am a registered builder OR ( )theauthorizedrepresentatlve <br />of a registered builder. <br />The work will be pertO med by 8 reg stered bLlilder. <br />Other <br /> <br />have read and agree to the terms, s~a~ed on the reverse side of <br /> <br />OATE: 09/10/92 TIME: 8.-02:~9 <br />PARKER, SHERRI <br /> <br />DATE: <br /> <br />SE u~: <br /> <br /> 5775 SHAW HWY <br /> AUMSVILLE OR <br /> <br />~SE OF BUILDING: <br /> SINGLE FAMILY DWELLINGS <br /> <br />:MAILING ADDRESS: <br /> <br />CA'Y'EGORY: <br /> RESIOENTIAL <br /> <br />OCCUPANCY~ <br /> <br /> R-3 <br />OCCUPANT LOAD; <br /> <br /> NO OF BEOROOMS' <br /> <br />SAME <br /> <br />PHONE: 364-0626 <br /> <br />SITE HUMBER: 92-05016 <br />VALUATION~ $20,000.00 <br /> <br /> i8 8S 1W AR <br />DEPTH: AREAJ UNITS; l'oREal LdT'. ! ~OPN~: <br /> 4,95 : AC YES HO <br /> <br />MAP: <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO. <br />PARKER, SHERRI <br />SAME <br /> <br />PERMIT OR APPLICATION NO: 42056 <br /> ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: 364-0626 PHONE: <br /> <br /> ITEM <br />BUILOIN6 FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $L40.50 <br /> <br /> $7.05 <br /> <br />$245.89 <br />$245.89 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: <br />RECEIVED 8Y: cr ................................... TYPE: CHECK ~: 0 <br /> <br />* THIS IS A VALID PERMIT. THIS PERMIT EXPIRES [80 DAYS FRO~ ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF &80 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />EQUIREHENT8 OF STATE LAWS AND NARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br /> <br />SALL BECOME NULL AND VOID. <br /> <br />HEIGHT: 12 SETBACKS: FR -~ <br />TOTAL SQFT: 400 LS-lO <br />STORIES: 1 RS~iO <br />PLAN.ACTION: ER 30 <br />ENERGY PATH: 1 SP~~ <br /> <br />REMARKS: FAMILY RN ADO <br /> <br />DONALD E. WOODLEY, MARION COUNTY 8UILOIN6 OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />