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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: 5BS-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />am a registered builder OR ( )theautl~orizedrepreBentative <br />Other <br /> <br />DATE: .t2/051~ <br />GREEN, JOE <br /> <br />TIME: }.1:40:39 <br /> <br /> liED7 FALCON CT NE <br /> AURORA OR 97002 <br /> <br />USE OF OUtLDING. <br /> RESIDENTIAL ACCESSORY STRUCTURES <br /> <br />MAILING ABBR~: <br /> <br />PO 80X 759 <br />PORTLAND 97207 <br />PHONE; 685-9685 <br /> <br />SIGNATURE OF APPLICANT; <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />CONTRACT CITYI <br />MARION COUN'I'Y <br /> <br />UGB <br /> NO <br /> <br />CATEGORY <br /> <br /> RESIDENT 1AL <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />NO OF B~DROOM$ <br /> <br />CENTURY MEADOWS <br /> <br /> SITE NUMBER: 92-0~754 <br /> VALUATION: $1,200.00 <br /> <br />LOT BLOCK: SECTION TOWNSHIP. RANGE: <br /> 53 55 ~$ 1W <br /> 40 IlO SF YES <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: 45554 <br /> <br />ZONE <br /> <br /> N O <br /> <br />CONTRACTOR NOt 75977 <br /> LANAIN CONSIRUCFION <br />206 SE 4TB <br />TROUTOALE, <br />PHONE: 760'-77~6 <br /> <br /> ITEM <br />BUiLDiNG FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br /> QUANTITY <br /> <br />AMOUNT <br /> $20.50 <br /> <br /> $1..05 <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS $55_89 <br /> TBIS RECEIPT $0.00 <br /> BALANCE DUE $0_00 <br /> <br /> PAYEE: <br /> RECEIVED BY: PB ...................................... TYPE: CNECK ~: 0 <br /> <br />* THIS IS A VALID PERMIT. THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES POE A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO HEET ALL <br />EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />BALL BECOME NULL AND VOID, <br /> <br />HEIGHT: SETBACKS: FA_lO <br />TOTAL SQ FT: 0 LS 5 <br />STORIES: RS~/ <br />PLAN.ACTION: RR 12 <br />ENERGY PATH: BP'ii ..... <br /> <br />ENERGY PATlt: <br /> <br />REBARKS: CARPORT <br /> <br />O~ALD E. WOODLEY, <br /> <br /> TRERE NAY BE SOME SETTLEMENT OF FTGS. AS CARPORT WILL, BE ON FILL <br /> <br />MARION COUNTY BUILDING OFFiCiAL / BY ........................................... ~ .................. <br /> <br /> OFFICE COPY' <br />FORM/f MC 15.56 REV. 4/90 <br /> <br /> <br />