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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 />I am performing work on 8 property I own or <br />18maregioteredbuilderOR( )the~uthorlzedrepresentative <br />of a registered builder, <br />Tfle work will be performed by a registered builder. <br />Other_ <br /> <br /> 0/11,5/ 94 ] .[ MI_, :i.;~. $ ,,, ,7;,'1, ; TAX LOT: i CATEaORY: <br />OWN~R:f)A f'I!i; ~' < ,_,,~ . ~.,' <br /> <br /> MODDE~N [~U;£Lf)I~'l;' SYS~I;H;% ZI~.6 60518-:000 <br /> <br /> KENNETH ~ R~SMUSSEN~ P.E. &82-&422 <br /> PO BOX 250 TOALATIN, OR 97062 ; SITE NUMBER: ~4-02749 <br /> PHONE: 749-494~ ~ VALUATION: <br /> <br />TYPE: BUILBIN6 PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. , <br />MODDERN BIJIL. DIN~ 8YSTEMS~ IN <br />KENNETH A RASMUSSEN~ P,E, 68 <br />PO BOX 250 TUALATIN, OR <br />F'HONE: 749--4949 <br /> <br /> ITEM <br />BtJILDIN6 FEE <br />F'LAN REV]:EW <br />BU]~I..1)ING STATE S~JRCHARGE <br />ZONIH6 SURCHARGE <br /> <br /> 47~72 <br />ARCHITECT/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br /> $8.4~ <br /> $8.65 <br /> $8.65 <br /> <br />$22.75 <br />$~2.75 <br /> sr~. 08 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE:: <br />RECEIVED BY: DM ............................................ TYPE: CHECK ~: 0 <br /> <br /> ~ THIS IS A VALI~ PERMIT. THIS PER~I~ ,EXPIRES 188 BAYS FROM ITS ISSUE BATE. IF <br />CgNSTRUCTION CEASES FOR A PERIO~;OF,1SOI)~YS$ OR IF CONSTRUCTION FALLS TO MEET ALL <br /> EOUIREMENTS OF STATE LA~S AND M~ZON COUNTY BU~LBiNG ANB ZOHIN~ ORDIHANCES~ THIS PERMIT <br /> ALL BECOHE NULL AHD VOID. ' <br /> <br />El,IR F,'CY PATH: <br /> <br />, Z : HEIGHT: SETBACKS: FR_O <br /> TOTAL sQFT: 0 LS 0 <br /> STORIES: RS"0 <br /> PLAN.ACTION: RR""O <br /> ENERGY PATH: SPi~ ........ <br /> <br />REMARKS: MODERN BLDG SYSTEMS (MODULAR OFFICE IN-PLANT) <br /> <br />DOI,I(H..D E. WOODLEY, MARION COUNTY BUILDING 8FFICIAL/ BY . ...................................................... <br /> <br /> OFF]CE COPY <br />FORM # MC 1 ~-56 RBW. 4190 <br /> <br /> <br />