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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 /> Other <br /> <br /> · 5-N ' R,,,,~ <br /> <br />~:USE OF eU~L~416LE FAMILY <br />= <br />J MAILING ADDRESS'. : SUBDIVISION: <br /> 2943 LA'FONNE AUMSVILLE MEADOWS <br /> KE~ZER,, OR 973~3 S~TE NUHBER: <br /> PHONE: ' ~90--7S39 VALUATION: <br /> <br /> LOT: r BLOCK SECT ON; TOWNGH P: i ~NG~': ..... ' ZONE: ; MAP; <br /> <br />tw 14 19 125 <br />IDTH; 78 DEPTH; 120 AREA: 84 01~1. i UNITS; II~G. LOT: COjJ~bER: <br /> <br />TYPE: D~IELLIH6 PERHIT OR APPLICATION <br /> <br />CONTRACTOR~ I'[0. 049~0 <br />John F R~eger <br />~888 Rockl&dqe Ct NE <br /> <br />PHONE~ 398-2661 <br /> <br /> ~ TEN <br />~WEI. I,.ING BUILQIN6 FEE <br />])WELLINg; PLU~BIH6 <br />~WEL[_IN6 MEOHANICAL <br />DWELLING ELECTRICAL <br />PWEL. LIHG STATE SURCHARGE <br />DWELLING PLAN REVISW <br /> <br />PAYEE: <br /> <br /> 54390 DP <br />ARCH]:TECT/ENG INEER~ NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOU~ RECEIPTS <br />TH'IS RECEIPT <br /> <br />LIUANTITY <br /> <br />AMOUNT <br /> $285.11 <br /> <br /> $25,,90 <br /> $81.18 <br /> $24.81 <br /> $185.00 <br /> <br />$705.96 <br /> $0,,00 <br /> <br />I~ALANCE l)lJE ¢0.00 <br /> <br /> RECEIVED BY: PB TYPE: CHECK ~: 0 <br /> $ THIS ~S A VALID PERHIT. THIS, PElt~l'tIT EXPIRES 188 DAYS FROH iTS ISSUE DATE. IF <br />COHSTEUCT[OH CEASES FOR A PERIODiOF 18~ DAYS~OE IF CONSTRUCTION FRILS TO NEET ALL <br /> EOUIREHEHTS OF STATE LAWS, AND HCR~OH COUNTY DUILDIHGAND ZOHIH~ ORDZHANCES, THiS PERMZT <br /> RLL BECOHE HULL RND VOZD. <br /> , , HEIGHTn SETBACKS: FR 20 <br /> i TOTAL SQ PT: 1772 LS-'5 <br /> SEPTIC: ~Y ........................... QATEI ................ STORIES: 1 RS'"'5 <br /> PLAN. ACTION: RR"'14 <br /> ENERGY PATH: 1 SP .... <br /> <br />RE, HARKS; NEW RES <br /> <br />I)SNAL. JDE. WOOI)LEY, <br /> <br />MARION EOUNTY BUILDIHG OFFICIAL / BY .................... ~ ....................................... <br /> <br />FORM # MC t~-)0 REV, 4/90 OFFICE COPY <br /> <br /> <br />