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MARION COUNTY BUILDING INSPECTION <br />SENATOR 0LOG, 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 />of a registered builder. <br />The work wfll be performed by 8 regis ered bu de <br />Other <br /> <br />I have read and agree fo the terms $~ated on the reverse side of <br />this document. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />OWNER )(. ~ I.. ~U/, 7,/ ?4 ~"~ ....... TAX'LOT; ....... <br /> <br /> 7216 SCHOLLS FERRY RD ~2 <br /> BEAVERTONt OR. 9'2¢~5 ~ZTE NUHBER: 94-e~145 <br /> PRONIE~ 628-48r~6 VALtJAT~ON: <br /> <br />TYPE: BUILDTNG PERMIT OR A~PLIOATiON <br /> | <br />COR'FR£d';Tf R,; [~(']., 9894~ <br /> ,,ap;,tol Awl'~%~lg / S<'~nt~8~l 14o <br />518 Va].leywood Dl- SE <br />Sa],e~ 97386 <br /> <br /> ITEH <br />BLIZL, DJrNG FEE <br /> <br />BUlL. DING b'IATE SURCHAR~E <br /> <br /> 57294 <br /> <br />ARC:HI TECT/ENG I NL--ER: NO. <br /> <br />PHONE: <br /> <br />QLJANT ~ TY <br /> <br />TOTAL, A~SEoSED FI:.Eo <br />PREVIOWS RECEIPTS <br />TH,tO' RECE'rF'T <br /> <br />AMOUNT <br /> <br /> $25.03 <br /> $1.93 <br /> <br />$65.46 <br />$ 6~ r, 46 <br /> $(% <br /> <br />BALANCE D JE <br /> <br /> RI'.LE,¢,VgD BY: DM ................................................... TYPE:: CHECK ,l,: 0 <br />* THIS IS A VALID PERMIT. ,',,~HI$ PERMIT EXPIRES lO8 DAYS FROM ITS iSSUE DATE. IF <br />CONSTRUCTIOR CEASES FOR A PERIODi 0F'188 DAYS~ OR IF COHSTRUCTIOH FAILS TO ~EET ALL <br />E~UIRE~ENTS OF' STATE LAWS AHD H~RZON COUNTY BUZLDiH~ AND ZONING ORDZNANCES, TH~S PERM;T <br /> ALL BECOME NULL AND VOID. ' <br /> <br /> HEICHT: SETBACKS: F'R <br /> J , TOTAL SQFT: 38~ <br /> FJ'Ir:'R~; Y PAl H:' i ~TORZES: RSF-6 <br /> PLAN. ACTION: <br /> } , , ENERGY PATH: SP-' <br /> REHARKS~. CARPORT, ,,', .. <br /> }aflNAID l... ~._,,rh FY, A~,[ON COUNTY BI.I[DJ'WI; OFFICIAL / 8Y <br /> <br />OFP~CE COPY <br /> <br /> <br />