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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 />of a registered builder,
<br />The work w be performed by 8 reg s eted builder,
<br />
<br />.r,.~A'~E;~: 06/" 4/97
<br />[ 'h 7¢., IJ.[L.[...i.¢.~
<br />
<br />At.!MSVILLE
<br />
<br />. d,l.... 1. J..,,;~?.01
<br /> TAX LOT~
<br />
<br />SITE NUMBER:
<br />VAt UATION: $7'?,~ 025~
<br />
<br />~ AE . 48
<br />
<br />TYPE: DWELLING PERMIT OR APPLICATION NO: 47474 DP
<br />
<br />CONI RAI:,i'OR,, ,fO. AI~,~"I.[ i~ £ C r/l;,N(.,1. N [.:E R ~
<br />
<br />J. 140:[ DTIE]'.,,fKAMP RdAD
<br />
<br />AU M~;V ].'I..LE ?7,325
<br />F'HONE;: 74%-:[225
<br />
<br />DWELLINg BUILD]',NG F'EE
<br />DWELLZNQ PL, UHBtN(;
<br />D~ELLING MECH~NICgL
<br />D~EI..L ZN6 ELECTR;[CAL
<br />D~ELLI!qG STATE SURCi,,iaR~E
<br />I)UELLI~,K~ F'LA~q REVZE~,¢
<br />DNEL.L,!NG ZONING SURCHARGg
<br />
<br />F'i-JOI,IE;
<br />
<br />OUAN'I'17fY
<br />
<br />TOTAL ASSESSE~ FEES
<br />PREViOUSRECE:I;PTS
<br />THZS RECEZPT
<br /> BAf,iANCEDUE
<br />
<br />AMO~JNi'
<br />
<br /> $27.52
<br />
<br /> $26,36
<br /> $185.00
<br />
<br />¢753.60
<br />$7o3,60
<br /> $0.00
<br />
<br /> J;'AYF-'E~I
<br /> I~E...E,L, :~D BY~ F'B ............................................................................... TYPE: CI-IE.,,K ~'-" 0
<br />
<br />· THIS tS A VALID PERMIT. T~tS PER~IT EXPIRES ~8~ DAYS FRO~ ITS ISSUE DATE. !F
<br />CONSTRUCTION CEASES FOR A PERIOD OF 18~ DAYS~ OR IF CONSTRUCTION FAILS TO MEET ALL
<br /> ERUIREEENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING OROINANCES, ~HiS PER~IT
<br /> ALL BEGONE MULE AND
<br /> HEIGHT: 15 SETBACKS;: FR
<br /> TOTAL SQ PT: 1883 LS"-I~
<br /> /:. ~ ~,~.,~ ~ F'ATPh,, S] Ok.[LS. i RS"':I. 8
<br /> LAN. ACIIO,,.
<br /> ENE:R(;Y F'ATH: 1 oF ............
<br /> RE~<AF(KS~: I)~EI..i;:fI,~G &, Sl'l~ SO.,FOR OR'.~GiJ,IAL ~E ,SAND FILTER F'OR FIJ'?URE F~E~;r.:'A:[R~L, AF'F:'ROVED Ai:',:EA
<br /> :~:8 ~,80 TO 28~ F'EE'Y' F'ORM ROAD. WEST SII>E ONLY, ~~~-"~
<br /> ~5CI;-.IALI~ E,, ¢OQ'~4...~E~, ~4ARIOi,I COUNTY SU!LD}:N~; OFFIC:[AL / BY .......................................... ~ ............................
<br /> OFFICE COPY
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