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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM1 OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am performing work on a property I own or occupy. <br /> F APPLICANT <br />I am a registered builder OR ( the authorized representative SIGNATURE 0 : <br />of a registered builder, <br />The work will be perCormed by 8 registered builder. <br />Other, <br />t have read and agree to the terms stated on the reverse side of DATE; <br />this document. <br /> <br />~UEH~SZ, ~ID J ~ RESI~EN'fIAL <br /> <br /> At RORA O~ ~7e~2 ~ffAR[ON COUNTY f NO <br /> EESI BEN~ I ~L ACCESOOE7 ~E~ <br /> <br /> ~ C~NTWR~., ME~OWS <br /> 18216 "C" NW WALKER RD <br /> BEAVERTON 978~6 , SITE HUMBER: 94-88~28 <br /> PHONE: ¢~8-7225 ~ VALUATION: $~. 88 , <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />~ONTRACTOR, NO. <br />KUEHNAST, DAVID <br />18216 "C" NW WALKER <br />BEAVERTON 97006 <br />PHONE: 698-7226 <br /> <br /> 52883 <br />ARCHITECT/ENGZNEER~ NO. <br /> <br />PHONE: <br /> <br /> ITEH QUANTITY AMOUNT <br />ADDITIONAL BUILDING FEES $48.88 <br /> <br />TOTAL A$SESSEDiFEES $49.00 <br />PREVIOOS RECEIPTS <br />THIS RECEIPT $40.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE." KUEH~IAST~ DAVID : 55261 <br /> RECEIVED BY.. DM ............... ;~.-_....~.___~_,_, ...... TYPE: CK CHECK ~: 1828 <br /> <br /> * THiS IS A VALID PERH~T. THIS PERH[T EXPIRES 18~ DAYS FROH ETS ISSUE DATE, IF <br />CONSTRUCTION CEASES FOR .A :PERIOD OF i88 DAYS~ OR IF CONSTRUCTION FAILS TO MEET ALL <br /> EOUZREflENTS OF STATE LA~S AND HARZOH COUNTY ~UTLDZNG AND ZONING ORDINANCES, THIS PER,ET <br /> ALL BECOME NULL AND <br /> <br /> ZONING: <br /> ENERGY P <br /> STORIES: <br /> <br /> ENERGY PATH: .......... <br /> D~bI~I._D ~. ~I)~EY.~ ~Obl COUNTY B~I~D5~[ flFFIClh[ BY _ ................ ~_._..._ ............ <br /> <br />FOR~ # ~c t s.~,~ R~'. 4~ OF FICE COPY <br /> <br /> <br />