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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-$147 8:00 - 4.:20 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />DATE: 07/17/92 TIHE: 25:25:12 <br />'BJORKQUIS]', BOYO <br /> <br /> 570 OETROIT RD S <br /> DETROIT 0R 97542 <br /> <br />~(~Nr~C~'~iTY t~ <br /> <br />E~YE;N T I A L <br /> <br />MAILING ADDRESS: ................... SUB ~I~ISI'~N ............ <br /> )ETROIT LAKE SHORES <br /> 2545 QUANORANT <br /> ROCKA~AY 8EACN GR 97136 SITE NUMBER: 92-0~642 <br /> PHONE: 355-8166 VALUATION: <br /> <br />$0.00 <br /> <br />LOT; : BLOCKi SECTION[ ~OwN~hi~ ....... ~ANGE' ZONE <br /> 6 5 Ol 10 5E RS <br /> <br />WIDTH' 163 DEPTH. 1.44 ARE~ 25¢72. U NIT~:F IR~. LOT ;0~' <br /> <br /> TYPE: BUILDING PERMIT OR APPLICATION NO: 9041348 <br /> <br /> CONTRACTOR, NO. ARCHITECT/ENGINEER, NO. <br /> BgORKQUIST~ BOYO <br /> ~545 QUANORANT <br /> ROCKA~AY BEACH OR 97~36 <br /> PHONE: 355-8~66 <br /> <br /> ITEH <br /> ~UILO~NG FEE <br /> BUILDING STATE SURCHARGE <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />MAP: <br /> <br />AHOUN]' <br /> $10.00 <br /> $0.30 <br /> <br />$10.$0 <br /> $0..00 <br />$to.50 <br /> <br />BALANCE DUE $0.00 <br /> <br />SETBACKS: F¢ / <br /> L,,S-Y <br /> RS~/ <br /> <br /> ~P .......... <br /> <br /> PAYEE: BJORKQUIST, 80YD ~ 45395 <br /> RECEIVED BY: PB ............................... ~__~__~ TYPE: IN CHECK ~: 0 <br /> <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT ¥0 ASSURE THAT <br />LL NECESSARY INF~R_.H~TIONHAS BEEN PROVIDED.~.-[~ /",,CCC= <br /> <br /> 1 <br /> <br />ZONING: BY <br /> <br />CITY JURISDICTION: BY ......... DATE <br /> <br />REMARKS: OEMOLITION OF A REStOENCE <br /> <br />STORIES: <br />PLAN.ACTION: <br />ENERGY PATH: <br /> <br />OFFICECOPY <br /> <br /> <br />