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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-PRONE: 5@8-7904 <br /> <br />Other <br /> <br /> J.~'~2:L3 ASPEN ~Y -- <br /> ~[,RORh 3R 97~2 <br /> <br />SIGNATURE OF APPLICANT~ <br /> <br /> TAX LOT <br /> 7 ,.45.l,,,, ~... <br />CONSTRUCTION TYPE <br /> <br />CON'CRACT CITY: JGB'. <br />MARION COUNTY NO <br /> <br />o.[NGI,k. FAHIL. Y ~I,dELLTNGS <br /> <br /> REOI DEN'Y')iAL. <br /> OCCUPANCY; <br /> <br /> I;:-3 <br />io~cu~T LOAD; <br /> <br />iaOOs e~O~OOMS: <br /> <br />r HON,;,. 67~'"1448 <br /> <br />LAEEWOOD ESTATES 84 <br /> <br /> SITE NUMBER: ~4-02928 <br /> VAL ,JA'¥']]]lq: $~5~ 100.00 <br /> <br /> RANGE ZONE; MAP. <br /> <br />..5 R <br /> <br />TYPE: BUILDINg PERMIT OR APPLICATIGN NO: <br /> <br /> :[ <br />[qJILD:[NG FEE <br />PI.AN tkEVIEW <br />BU;[LDIFIG Si'ATE SURCHARGE <br />Z(:II',f,T NE S[.IRCHARGF <br /> <br />P A YI--','F,: <br /> <br /> 56884 <br /> <br />Al?CH I TECT/ENG Z NEE'I~:,~ NO. <br /> <br />PHONE: <br /> <br />TO1AL ASSESSEQ FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QIJANTITY <br /> <br />AHOUNT <br /> $220.00 <br /> $147.00 <br /> <br /> $i1,.00 <br /> <br />$~85,.00 <br /> <br /> $0.00 <br /> <br />BALAHgE DUE $0., 00 <br /> <br /> RLCEIVED ~Y~ DM TYPE: CHECK '~. 0 <br />$ THIS IS A VALID PERHIT. THIS PERMIT EXPIRES 188 DAYS FRDN ITS ISSUE DATE, IF <br />CONSTRUCTION CEASES FOR A PERIODiOF'iS~ DAYS~ OR IF CONSTRUCTION FAILS TO NEET ALL <br />EQUIRENENTS OF STATE LAWS AND H~RION CouNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br /> ALL BECOME NULL AND VOID. , , <br /> <br />k],IEFd;Y I A iH,, <br /> <br />RM/BEDROOM <br /> <br /> COUNTY BUILDINI~ OFFZC,LA,_' ..... ,., t / BY <br /> <br />OFFICE COPY <br /> <br />:HEIGH':: : SETBACKS: FR / <br />TOTAl,,, SQ Fl': 780 LB'-5 <br />SfOk]ES 1 R <br /> PLAN. AC f ION. RR'-24 <br />ENERGY PATH: 1 SP] <br /> <br /> <br />