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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> 220 HIGH STREET NE <br /> SAL~EM OREGON 97301 <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 /> <br />The work wlll be performed by a reDistered builder,' <br /> <br />OWNER:~)At~.,, ~'~/'~.2/1~4 "t'];HEff TAX LOT; cApEGoRY: <br /> H¢,~,I':IE,~ /"II:_ & JUDY , )'5~ee--~;2e F(ESIDENT!AI_ <br />SITUS ADDRESS: CONSTRUCTION TYDE: , OCCUPANCY: <br /> <br /> 5r:"N :OCCUPANT LOAD; <br /> AItMSV]:LLE OR 971425 :MARION COiJNTY NO <br /> <br /> StNC..E EAM]:LY I)W~ L]~;S ~ <br /> <br />PHOHE: <br /> <br /> SITE NU~BEI{: 94-01847 <br /> VALUATION: $45,1~:~0.8,/3 <br /> <br />SECTION: TOWNSHIP: ' RANGE: , ZONE; MAP: <br /> <br />TYPE: B~ILDING PERMIT OE APPLICATION NO: <br /> <br />CONTRACTLII~ HO. 61474 <br /> [,.Y¢I'I"~,, P J\O.P, 13]~.g Il'lc <br />54~& 72nd Ave SE <br />SaleM~ 97~81-'~88~ ' <br />PHONE: S85-8884 <br /> <br /> ITr<N <br />BUlL. DIN(,; FEE <br />PI.. AI'] REVIEW <br />BUILDING STATE SURCHARGE <br />ZONII'.IG <br /> <br /> 53528 <br /> <br />ARCH1 fE,,,T/EN(~,I. NF',F.R, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AHOUNT <br /> $265~ 0(4 <br /> %L72.25 <br /> $13., 25 <br /> $13.25 <br /> <br />$463.75 <br />$$85,00 <br />$78,, 75 <br /> <br />BALANCE DUE $0. (,)0 <br /> <br /> PAY,:.IL. ~)WAIr,; BElfdEL ~&,.-.SONS EXCAVATION, .LNC <br /> <br /> * THIS IS A VALID PERtIIT. THiS PERi, IT EXPIRES 188 DAYS FROI~ ITS ISSUE DATE.. IF <br />CONSTRUCTION CEASES FOR A ,PEt~IODLOF 188 DAYS, OF~ IF CONSTRUCTION FALLS TO NEET ALL <br /> E(/UIREMENTS OF STATE ,LAWS AND HARION COUNTY BUILDING AND ZONING QRDINANCES~ THIS PERHIT <br /> ALL BECOHE NULL AND .VOID. <br /> <br /> J HEI£;HT: aE.] *. ACk .... FR <br /> ! TOTAL SB ET: <br /> <br /> ! PLON, 06, TION: AR"30 <br /> / <br /> <br /> / <br /> i)L~NAL, b E.: W(')/_'[)i.,EY,~ fiAR:[.OFI COUNTY ):ttJ;[,L,D.i;NG OF:i:::i;C;[A[,,. / <br /> <br />FORM # MC ~§.S~ ~. 4/90 OFFICE COPY <br /> <br /> <br />