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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; 588-5'14,7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder, <br />The work will be performed by a registered builder, <br />Other <br /> <br /> ; TAX LOT; t CATEGORY: <br /> <br /> }., ,5'~N .5:=3 <br /> 'J[1,4&& D:[TTt;R gl~ SE CONTRACT CITY; , uea [OCCUPANT LOAD; <br /> ~IJMSVZI_LE OR 97325 ~ ~RION COUNTY~ NO ', <br /> <br /> aLS,.DI;NTIAL fiC, L,.oSO~Y STRLJCTURES <br /> <br />. , <br />~'~ F'OONE: 749~2539 VALUATION: $s&4.,ee <br /> <br />~OT; ~ ~bOOK; ~ SECtiOn: TOWNSHIP; ~'~'~ ?~8 ~': ' ~'~: <br /> i , I , <br /> <br />6bM1 RAC'fOR.z I,IO, <br /> VI:L.L, AGE DNYWAL. L. <br />PO BOX 7782 <br />BEHD, 97798 <br />PHONL: :~8~,..1~52 <br /> <br />PERMIT OR APPLICATIgN NO.' 55818 <br />7577J8 ARCHITECT/ENCI'NEER, NO. <br /> <br /> :['rEM <br />BUILDIS6 F'EE <br />PI. AH REVZEW 7' . <br />BUILDIIq~ STATE SUI.LHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE: <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br />BALANCE hUE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $16.00 <br /> $10.40 <br /> $9.80 <br /> $0.80 <br /> <br />$28.00 <br />$28.00 <br /> $0.00 <br /> <br /> ~ECEIVED BY: PB TYPE:: CHECK :ll~: 0 <br /> <br />gONSTRUCTION CEASES FOR A, PERI,D~N.OF, i80'DflYS,'.OR IF CONSTRUCTION FALLS T8 MEET ALL <br />EQUIREHENTS OF STATE LAWS AND 'MARZON COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br /> ALL BECOME NULL AND VOID. ' ' , , ' <br /> <br />HEIGHT: <br />TOTAL SQ FT': <br />STORIES:: <br />PL, AN.ACTION: <br />ENERGY PATH: <br /> <br />ENERGY PATH: <br /> <br />REMARKS: DEf;K <br />DOHAL, D E,, <br /> <br />WOODLEY, MARION, COUNTY BUILDING OFFICIAL / BY <br /> <br />I92 <br /> <br />SETBACKS: t::'1~ / <br /> LS'"' '1.0 <br /> <br /> RR-'30 <br /> <br />FORM # MC 15/96 RS~/, 4/90 OFFICE COPY <br /> <br /> <br />