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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 8:0O - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OWNER'. " TAX LOT; <br /> KANPSTRA~ /)ILl._ <br /> <br /> 5-N <br /> 9 f. t S~IAW HWY ,gE <br /> AUMoV.[I.J..,E OR 97~25 MSRION COUNTY <br /> <br />SUBDIVISION: <br /> <br />UGg; <br /> <br />NO <br /> <br />F;ES I I)EI',Fi' I AL <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD' <br /> <br />LOT: <br /> <br />WISTH; <br /> <br /> SITE NUNSER: <br />FNONI., 74':?.-2294 VALUATTON: <br /> <br /> BLOCK; SECTION: TOWNSHIP' <br /> <br /> . ~8 ......... 8S ...... :Li~ .... <br /> DEPTH; AREA UNITS; RRES LOT; <br /> <br /> NO <br /> <br />TYPE: BU;fLD~HI; <br /> <br />~ONTRACTOR., NO. <br />KRHPSl'R~ B:[LL <br /> <br />AR CH I T ECT/E NG I I'll,~ F~,~ <br /> <br />PNONE: 749---2294 PHONE: <br /> <br /> ITFM <br />BI_J'f.I,.D I N6 FEE <br />PLAN REV]'[:'W <br />'."IUIL, DING S'fATE SURCHARGE <br /> <br />TOTAL ASSESSE~ FEES <br />PREVIOUS RECEIPTS <br />THIS kECEIPT <br /> <br />BALANCE DUE <br /> <br />PAYEE: KAMPSTRA, B,I:L[ <br />md.,h,[VLq) BY. ,d ......................................................... <br /> <br /> QUANTITY AMOUNT <br /> $~.7,,50 <br /> <br /> $0.88 <br /> <br /> $29,76 <br /> $0.00 <br /> $29,,76 <br /> <br />TYPE: EK CHECK ~: 2055 <br /> <br /> THIS IS A VALID P~'R~IT. TH:rs PERMIT EXPIRES 188 DAYS FRDN ITS ISSUE DATE. IF <br />CONSTRUCTIDR CEASES FOR A PERIO~ OF 188 DAYS, OR IF CONSTRUCTION FAILS TO ~EET ALL <br /> EQUIREMEHTS OF STATE LAWS AN~ HARIOH COUNTY BUIL~IN~ AND ZONING <br /> ~LL ~ECBHE NULL A~ ~ ~ -:"': , <br /> TOTAL so I::'T: <br /> b.d;., d,Y I ATd. STORIES: 2 RS <br /> PLAN. ACTION: RR ............. <br /> ENERG~ F'ATH: SP ............. <br /> <br />F, Ei'4AI',K,. F;i:RE REPAIR bP?AR FI¢,LPI.,ACl.'. PAST FIRE ,~TA]ION ON! k.~F'r <br /> <br />DONALD E,, WOOI)LEY,, MARION COiNTY BOILDING OFFISZAL. / BY <br /> <br />blRE(2TIONS: I14 MI <br /> <br />OFFICE COPY <br /> <br /> <br />