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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 />Otl~er <br /> <br /> · e <br />CHAL,U1. D~,NH ~',~ <br /> <br /> AUMS~LLE OR 97325 AUHSVIL. LE <br /> <br /> F~'~STv;~iS~; ............................................... <br /> <br /> ],12~ SE HOLGATE <br /> PHONE: 762-4~1~ VALUATION: $3.~ ~. ~ <br /> <br />TYPEs BUILDING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 42256 <br /> <br />518 Vallezwood Dr SE <br />Sale~ 97306-000~ <br />P~ONE~ <br /> <br />ARCHITECT/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING DTATE SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS:RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br /> $1.9J <br /> <br />$65.46 <br /> <br />BALANCE DUE $0.0G <br /> <br /> PAYEE: <br /> RECEIVED BY: DM2 .......................................... TYPE~ CHECK ~: 0 <br /> <br /> * THIS IS A VALID PERflIT. THIS PERNI$ EXPZRES18~ DAY~ FROM ITS ISSUE DATE. ~F <br />CONSTRUCTION CEASES FOR A PERZOD'OF18~'DAYS~OR IF CONSTRUCTION FAILS TO HEET ALL <br /> E~UIRENENTS OF STATE LA~IS ~1~ MARION,~'DUNTY,:BUILDING~ND 'ZONINg ORDINANCES~ THIS PERHIT <br /> ALL BECOME NULL AND V§[~; , <br /> <br /> :m ' HE~HI'. oETBACKS. FR 33 <br /> : FT: 388 LS'" <br /> : :: ~::': :: S~ORtES:: .:::.:: ,.R..~""~ .... <br /> PLAN.ACTION: ~ R~-].~ <br /> <br />HARZOH COUNTY ~UZLQING OFFICIAL / B~ ............. ~ .......................................... <br /> <br />ENERGY PATH: <br /> <br />p.-~^o~,,r,. LiARPORT <br /> <br />I')ONAL. D E. WOODL, EY~. <br /> <br />FOI:tM # ~ lS-~ REV, 4/9~ OF F[CE COPY <br /> <br /> <br />