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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 />of a registered builder, <br /> <br />Other <br /> <br />this document. <br /> <br />SiTU~ ADDRESS= : CONSTRUCTION Y~ O~PAN~Y: <br /> 3o OI,,,N~Y __ CONTRACT CITY: ; UGB; ~ OCCUPANT LOAD: <br /> <br /> 5::[NGL. E F'ANII,,Y DWELLT. HC!~ ,~ <br />MAILING ADORE$$: SUBDIVISION; <br /> <br /> 785'~; 72ND AV NE <br /> ,'~AL. EH~ OR 9'7~5 ; SITE HUMBER: ~4-eI~4 <br /> PHONE= 463--8~J VALUATIOhh ~88~ l~.Se <br /> <br />TYPE= DWELLING PERMIT OR APPLICATION NO: <br /> <br />CONTRACT?,j NO. <br />Ralph L Suf:ter <br />F'D Box 1253~ <br /> <br />FHONE. 588-237~ <br /> <br />ITEM <br />~WEI,.t. IN6BUILD]:N6 FEE <br />~ELLIN6 PLIJ~BING <br />DWEI.L~NG MECHANICAL <br />~WELLII,IG ELECTRICAL. <br />DWELLING STATE SURCHARGE <br />DWELLING PLAN REVIEW <br /> <br />PAYEE: <br /> <br />A~CH,[TECT/EN~INI:ER~ NO,, <br /> <br />PHONE: <br /> <br />:'ro'I'SL A~SESSE9 <br />PREg~OUS RECEIPTS <br /> THIS RECE;[I~T <br /> <br />BALANCE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br /> $112,06 <br /> $27.92 <br /> $87.51 <br /> $26,.74 <br /> $185.00 <br /> <br />$746.55 <br />$746.55 <br /> <br /> RECEIVED ~BY: p~) TYPE: CHECK '~: 0 <br /> $ THIS IS A VALID PERMIT.' THIS PERMIT EXPIRES 188 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 186 DAYS, OR iF CONSTRUCTION FALLS TO MEET ALL <br /> EQUIREHEMTS 8F STATE LAWS AND ~ARION COUNTY BUILD, NC AND ZONING ORDINANCES~ THiS PERMIT <br /> ~LL BECDHE MULL AH~ <br /> ' HEIGHT: ~"oET~AQKS,,~ "' - FR 28 <br /> 'TOTAL SQ <br /> EMEI,~GY PATH: I ' STORIES: 1 ES-",,¢" <br /> PLAN. ACI'ION: R~-'~ <br /> , ' ENER¢Y PATH: I SP'" <br /> <br />~EMARKS,', NEW RES <br />I')OM,~I_B E,. WOODLE:Y.¢ iiARION COUNTy ~4UILDtNG OFI::'IS:[AL / BY <br /> <br />:ORM # MO 15-58 REV, 4/90 OFFICE COPY <br /> <br /> <br />