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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: S88-7904 <br /> <br /> I am performing work on a property I own or occupy· <br /> l am a registered builder OR ( ) the authorized representative <br /> of a registered builder, <br /> The work will be performed by a registered builder· <br /> Other <br /> I ha¥e read and aQree to the terms stated on the reverse side of <br /> this document· <br /> <br /> ]BATE: 07/30/9~ TIME: ,L2.1&.09 <br />:Ow~E~: BAILeY~ JAMES <br />SITUS ADDRESS: <br /> <br /> i862& BUTTEVILLE RI) <br /> AURORA OR <br /> <br />SIGNATURE Of APPLICANT: <br /> <br />c~5~E N T I AL <br /> <br /> CONSTRUCTION TYPE; OCCUPANCY: <br /> <br /> NE ' <br />970e2 '~NC~ONT~ i OR~ : bOouPANT LOAD; <br /> <br />USE OF Su~Lm~RiCULTURAL STRUCTURES <br /> <br />MAILING ADDRESS: <br /> <br />SU BDTVISION: <br /> <br />SAME ....... SiTE~SNBERt?~e2502 <br />F'HONE: 982-9217 VALUATIOH: $0.00 <br /> <br />· :SECTION; ,TOWNSHIP: , RANGE; <br /> ~ 30 4S I.W EEU 6 <br /> <br /> WIDTH: :DEPTH: iAREA .% 21 ! UNIThC In~. LOT: ! COR~F~: <br /> <br />TYPE= BUILDING PERHIT OR APPLICATIDH <br /> <br />CONTRACTOR~ NO. <br />BAILEY~ JAMES <br />SAME <br /> <br />PHONE: 982-9217 <br /> ITEM <br /> <br />ARCHITECT/ENGINEER~ <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />HO. <br /> <br />QUANTITY AMOUNT <br /> $0.00 <br /> <br />$0.00 <br />$8.80 <br />$0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: <br />RECEIVEB BY: PB TYPE: CHECK ¢: 0 <br /> <br /> $ THIS IS A VALID PERHIT,: THIS PERHIT,'EXPIRES 188:BAYS FROH ITS ISSUE DATE. If <br />CONSTRUCTION CEASES FOR A PERIOD OFZGODAYS~OR IF COHSTRUCTIOH FAILS TO MEET ALL <br /> EOUIREHENTS DF STATE LAMS AND HARIDH COUNTY BUILDING AHD ZONING ORDiNAHCES, THIS PERMIT <br /> <br />ALL BECOME NULL AND VOID, <br /> <br />HEIGHT: SETBACKS: FR <br />TOTAL SQ FT: 0 L$ <br />STORIES: RS .... <br />PLAN.ACTION: RR <br />ENERGY PATH: SF'ZZZZ <br /> <br />ENERGY PATH: <br /> <br />REMARKS: AG EXEMPTION <br /> <br />DONAI. B e. WOODLEY~ MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. 4/90 <br /> <br /> <br />