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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLE)G, 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 />I am perfomdng work on a property , own or occupy. T~~i <br />I am a regi~l,~red builder OR the authorized representative SIGNATURE OF APPLIOAN ,,/~J'~ [ <br />of a reglsfur~d btdCder. <br />Tho work will be performed by a registered builder. <br />Other <br />I have read ,And agree fo the terms stated on the reverse side of BATE: <br />this document. <br /> <br />OWN~: OAL:.,. 04/14/':24 'f"[ME;:t <br /> I"IOEKSTRE~ FRANK , BOHMEI~CI~L, <br />S~TLJS ADDreSS: ; CONSTRUCTION ~YP~; OCCUPANCY: <br /> <br /> sN M,,,,:L <br /> [:L425 EHL, EN ~0~ NE COHTRAOT CITY: ; UGh: OCCUPANT LOAD~ <br /> AURORA OR ~Tee2 MARTON ~:OUNTY: NO <br /> <br /> AGRICtLTURA_ STI~UCTURES <br /> <br /> SUBDIVISION; <br /> <br />4190 VAN Wc. LL. ~D " <br />DAL.LA!i;, OR ~73~8k-'"'~" '/ SiTE NUMS~R: 74-~1440 <br /> V~L.UAT~ON: <br /> <br /> B~CK; SEC~I~: ...... TOWNSHIP; RANGE: ~'~ ~ MAP~ <br /> 'L 8. ' ~ C N O N 0 <br /> <br />TYPE: ~U~LDING PERMIT OR APPLICATION <br /> <br /> :rTEM <br /> <br />F I..AN REV:i:EI~ <br />BUILDING STATE SLIR[]HAI~I;E <br />ZI3IqING <br /> <br /> 78~4202 <br /> <br />ARCH I TECT/EN6 IIqEE"i% NO., <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DdE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br /> $294.,45 <br /> $22.65 <br /> $22,65 <br /> <br />$792.75 <br /> $0,,00 <br />$'792~75 <br /> <br /> PAYEE: FRANK HSEKSTRE 56672 <br /> RIECEIYED BY~ PM ...................................................... = .... TYPE: CK CHECK ,1~: 3522 <br /> <br />~ THIS IS HOT R PERMIT. THIS RPPLIEATIOH HUST ~O THROUGH A REVIEW PROCESS BHERE THE <br />FOLLO~ZHG HUST ~E CSHPLETE~. :ZT IS THE RESPONSibILITY OF THE RPPL~I~ANT TO RSSURE THA~ <br /> <br />LL HECESSRRY THFORMATIOH I'I~S i~EEI'{ PROVIJ)EI)- <br /> <br /> ZOI4IN~: BY. i~ ...................... D~T~;-~.~_ <br /> <br /> CITY ,,~URISDICT;[ON~ ~.,Y DATE <br /> <br /> REMARKS: ADD lO EACH END OF HAY <br /> <br />HEIGHT: <br />'fOTgL SO F'T: I._,~ <br />STORIES: RS'""~ <br />PI,.AN~ ACTION: <br />ENER6Y PATH: SP <br /> <br />OFFICE COPY <br /> <br /> <br />