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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 />I am performing work on a property I own or occupy. <br />I am a registered builder OR the autl~or{zed representative <br />of & registered builder, <br />The work will be performed by 8 registered builder. <br />Other_ <br /> <br />have read and agree to the terms stated on the reverse side of <br />tflls document, <br /> <br /> 12793 EHLEN RD NE , ' <br />AURORA OR 97~e2 HARZON COUNTY ~:N0 <br /> <br />SZNEL,E <br /> <br />CONTACT: JIM ARLETH <br />PHONE. <br /> I ~Lb~E; SECTION: i TOWNSHIP; , RANGE'. ZONE: I MAP: <br /> <br /> ~ J ............... &~.__..)___.~C ~Q .... N0 <br /> <br />TYPE: D~ELLING PERNIT OR APPLICATION <br /> <br />COHTRALZOR, <br />GFII[LIERI~ LORENZO <br />CON'FACT: ,JIM ARI.,ETH <br /> <br /> 54783 DP <br />ARCHITECI'/ENGINEER~ NO. <br /> <br />F HI'ti,iL. PI-lONE: <br /> <br /> ITEM <br />BWE/_LIIqG BUlL. DING FEE <br />DWELLING PLUMBING <br />DWELLING MECHANICAL <br />BWI=LL, ING ELECTRICAL. <br />BWELLING STATE SURCHARGE <br />DWELI_.'.£NG PLAN REVIEW <br />DWEI,,.I,.,II',IG ZONING SURCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANT:[TY <br /> <br />AMOUNT <br />$1~829.75 <br /> $~75.49 <br /> $93.55 <br /> $2~.21 <br /> $8~.,60 <br /> $185.00 <br /> $15.~0 <br /> <br />$~,081.60 <br />$1,748.50 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: GHIGLIERI,IA~E~I~O , , ~]9061 <br /> RECEIVED BY: ............................ TYPE: CK CHECK ~:: 117~ <br /> <br />CONSTRUCTION CEASES FOR A PERIOD,OF 188 DAYS, OR IF CONSTRUCTION FALLS TO NEET ALL <br />E9OIRENENTS OF STATE LA~S AND NARION COUNTY ~UILDING AND ZONING ORDINANCES~ THiS PERMIT <br />ALL ~ECONE NULL AND VOID. ' <br /> NEIGHS: SE'F~ACKS: FR 20 <br /> TOTAL SQFT: ~400 LS'":LO <br /> SEPTIC: BY ..................... DATE .............. STORIES:: 2 RS-J,O <br /> PLAN. ACTION: HR""30 <br /> ENERGY PATH: i SF'"" <br /> <br /> REMARKS~ NEW RES, <br /> <br /> DONALD liE,, WOOBL. EY~ MARION COUNTY BUILDING OFFICIAL / BY ................................................... <br /> <br />OFFfCE COPY <br /> <br /> <br />