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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 />The work will be performed by m registered builder. <br />Other. <br /> <br /> DATE: L2/05/92 <br />OWNER~ <br /> <br /> GREEN JOE <br />SITUS AGORESS: <br /> <br />TIME: 1.].:40:5.1 <br /> <br />CONSTRUCTION TYPE <br /> <br /> 5'~N <br /> NE :53 CONTRACT CITY; OCS: <br />OR 97002 MARiOh COUNTY NO <br /> <br /> 11687 FALCON C7 <br />AURORA <br /> <br />PLAN REVIEW ONLY <br /> <br /> CE~.T.URY..NEADO~3 <br />PO BOX 759 <br />PORTLAND 97207 SITE NUMBER: 92-037~4 <br />PHONE: 685--9685 VALUATION: <br /> <br /> 40 11.0 SF YES NO <br /> <br />CATEGORY <br /> <br /> RESIDENTIqL <br />OCCUPANCY <br /> <br />$0_00 <br /> <br /> MAP <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO. 75977 <br /> LAMAIN CONSTRUCTION <br />206 SE 4TH <br />I'ROUTOALE, 97060-0000 <br />PHONE: 760,,-77~6 <br /> <br /> 44167 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br /> ITEM <br />FOOTING/FOUNOAI'ION ONLY <br />BUILDING STATE SURCHARGE <br />ADDITIONAL SURCHARGES <br /> <br />PAYEE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $25_00 <br /> $0_50 <br /> $0.75 <br /> <br />$26.25 <br />$26.25 <br /> $0..00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVED BY: PB ..................................... TYPE: CHECK. fi: 0 <br /> <br />* THIS IS A VALIO PERMIT. THIS PERMIT EXPIRES 3.80 OAYS FROM ~TS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF $80 DAYS,, OR IF CONSTNUCTION FAILS TO NEET ALL <br />EOUIREMENTS OF STATE LAWS AND MARION: COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br /> <br />HEIGHT: SETBACKS: FR <br />TOTAL SQ PT: 0 LS~]..~ <br />STORIES: RS ......... <br />PLAN.ACTION: RR ....... <br />ENERGY PATH: SP <br /> <br />SALL BECOME NULL AND VOID. <br /> <br />ENERGY PATH: <br /> <br />REMARKS: FOUNDATION FOR MH ON FILL.MAKE PRIOR ARRAGNEMENTS TO SCHEDULE INSPECTIONS OF <br /> HOLES FOR PIERS SAME DAY AS HOLES ARE DUG cO CONCRETE CAN BE POU O SAHZ DAY DUE <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFtCECOPY <br />FORM # MC 15,56 REV. 4~0 <br /> <br /> <br />