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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 />t am ~ registered bul[derOR ( ) the authorized represerltatlve <br />of a registered builder. <br />The work wil& be pe?formed by a registered builder. <br />Other. <br /> <br />: ~UHSV.LL[_E <br /> <br />~ PO BOX 75:[ <br />I ,.A.,UNSVZIJJ:".~ OR ?7325 SITE NiJN~ER: 94-012&7 <br /> J" liONJ';:: 749-3866 VALUATION: $89 <br />[~T ' 8~0C K'. ~ ~ mECTION TOWN~HIP: RANGE <br /> <br />[ ......................... ~ --' [ ............ ~sL.............. ]J88 [ [~ ....................... 'Il -- lll['~O .......... I N 0 .............. <br /> ] <br /> <br />TYPE: 9~ELLING PENMIT OR APPLICATION NO: <br /> <br />5~894 DP <br /> <br />lXiN'f RA(';TOR, NO,. <br />LIJ~AS~ HAf~K A <br />PO BOX 751 <br />~U~SVII,J,,E, OR 97','~25 <br />FHONF: <br /> <br />ARCHITECT/EN(~INEER~ <br />PI'-fONE: <br /> <br /> TEN <br />DWEL.L:r. NG BLI.ILDING FEE <br />DWELL INI:) PLUMIt;[NG <br />gWELL.]:N& MECHANICAL <br />~WELLING ELECT~J;CAL <br />~WELI,.,:[t~G STATE SURCHARGE <br />~)~[{L,I_.~ NI; PLAN <br /> <br />TOTAL ASSESSED FEES <br />PRE~IOI S RECEIPT~ <br />THIS REgEIPT <br /> <br />$815,,88 <br />$813.88 <br /> <br /> ~,ALAN[,E DUE ~:.0.00 <br /> PAYEE:: <br /> REC;EIVED BY~ P~ TYPE: CI-IE]K ~: 0 <br /> -----------------------------------------~-T~S~S-A~VAL~D-PER~¥:~-TH~-~ER~T-EXPIRES-18~DAYB FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD 'OF 188 DAYS, ORIF CONSTRUCTION FAILS TO MEET ALL <br /> EQUIREMENTS OF STATE LAWS;~ND MARION COUNTY BOILDIN~ AND ZONIN~ ORDINANCES, THIS PERHIT <br /> ALL BECOME MULL AND VOID. ' <br /> HEIGHT: SETBACKS: F'R 20 <br /> TOTAL SQFT: 21~9 LS'"'5 <br /> >TORIE~. :[ RS-5 <br /> ~LAN.ACF[O~: RR-'5 <br /> ENERGY PATH: :[ SPi .......... <br /> <br />RE:HARKS,~ NE~J RES <br /> <br />I)ONALO E,, i~OODt...EY~ <br /> <br />HAF~IOH COUNTY I,,'LI'[LD'[NG OFFICIAL / i~ly ..... ~ ................................................. <br /> <br />FORM # MG 15,~6 REv', 4/80 OFFICE COPY <br /> <br /> <br />