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MARION COUNTY BUIILDING 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 />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE: <br /> <br />OWNER:))(!TE;~ 04/0J /94 <br /> <br />'SITUS A~E~ ' <br /> <br />~XX LOY: <br /> <br /> 17887 CASE RD <br /> A RORA <br />USE OF 8UILOING; <br /> <br /> ~N'FAAcf Cm~: <br /> FIE <br />97002 <br /> <br /> LOAD; <br /> <br />NO OF BEDROOMS <br /> <br />M^~UNG ^Do~Ts~I:61-E FAHIEY D!q~bI,:-~NG,S ................... <br /> <br />t_OT: <br /> <br />20178 LAce RD NE <br />AIJkORA~ 0~, ?700,. SITE NUMBER: <br />PHONE; 67~--525'5 VALUATION~ <br />8bObK: SECTION ~TOWNSHIP: RANGE <br /> <br />94--00627 <br />ZONE: MAP; <br /> <br />WIDTH: <br /> <br />DEPTH; : AF~,&: uNi~ ii~.~G, Lbt: <br /> <br />TYPE: BUILDIHG PERMIT OR APPLICATII~M <br /> <br />COt, FRA[.TOk~ NO. 62024 <br />Donald D I,Iowak <br />f'(] Box 411 <br />DoYla 1. d, Y7020-0000 <br />PHONE: 678...'1731 <br /> <br /> 5~912 <br />ARCHI'f'EE'I'/ENG I NEEI~ ~ NO,. <br /> <br />F'I"IONE~ <br /> <br /> :r'rEM QUANT:['I'Y AMOUNT <br />BU]:LDIN(; FEE $116.50 <br />PLAN REVIEW $75.73 <br />BUILDING STATE SURCHARGE <br /> <br />TOTAL ASSESSE~ FEES <br />PREVIOUS RECEIPTS <br />THIS:RECEIPT <br /> <br />PAYEE: <br />RECEIVED BY: F'M2 TYPE: CHECK ~: 0 <br /> <br />$198~06 <br /> <br /> ~ THIS IS A VALID PERMIT. THiS PERMIT EXPIRES 180 DAYS FROM ITS IOSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 18~ DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br /> EGUIREMENTS OF STATE LAWS ANDMARIOH COUNTY BUILDINg AHD ZONING ORDINANCES= THIS PERMIT <br /> ALL BECOME HULL AND VOID. <br /> <br />ENEI,GY PATH: <br /> <br />I~:['-'ttARKS: FIREPLAC, E & CHtMNEY~ <br /> <br />HEIGHT: SETBACKS: FR <br />TOTAL SQ F'T: 0 LS <br />STORIES: " <br /> · ,, RS .......... <br />PLAN.ACTION: RR .......... <br />ENERGY PATH: SP ........ <br /> <br />INT REM <br /> <br />DONALD [:, WD[]DLEY~ MARION COUI,fTY BUILI)ING OFFICIAL. / BY <br /> <br />OFFICE COPY <br /> <br /> <br />