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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: $88-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of ~ registerer builder. <br />The work will be performed by a registered builder, <br />Other .... <br /> <br /> ~';iJl,,,1 Mr;I,! ,, J(] FII,I i .......... <br />....................................... IR E S .[ D E N f .( A L <br /> <br /> 15e S 7TH - <br /> ~U~dSV:(U_.E, O~ 97325 , SITE NU~ER: 94-8~69 <br /> F'HOI,iE: 74<?-1266 ' VALtJ~T];ON: $;~ 889,, 88 <br /> <br /> TYPE: BUILDING PERMIT OR APPLICATION NO: 57186 <br /> COHTRACTOR~ NO,, 98940 ARCHITECT/ENC, II,lEER, <br /> <br /> ,)..8 V,3l].r-]ywood Dr SE <br /> ,~alem~ ?7386 <br /> PNOI,I[~: 363-171'J PHONE: <br /> <br /> Z 'FEN [~tJANTITY AMOUNT <br /> <br /> PLAN REVZE~ <br /> BUILDING STATE SURCHARGE $1,.9:~ <br /> <br /> TOTAL ASSESSE~ FEES <br /> PREVIOUS RECEIPTS $6~;,, 46 <br /> THIS RECEIPT <br /> <br /> ' ,BALANCE DUE <br /> <br /> PAYEE: <br /> RI~:CE);VE~ BY: DH ........................................................ TYF'E: CHECK ~: <br />$ THIS IS A VALIB PE~HIT. THIS PER~IT EXPIRES 18~ BAYS PROM ITS I~SUE BATE. <br />CONSTRUCTION CEASES FOR A PERZOB!OF 18B 9AYS, OR IF CONSTRUCT~flN FALLS TO ~EET ALL <br /> EQUIRENENTS OF STATE LAWS AN~ HARION COUNTY BUILDING ANB ZONIN~ OR~INANCES, THIS PER~IT <br /> ALL BECO~IE NULL ANB VOID. <br /> <br /> HEIGHT,: 8 SETBACKS: FR 29 <br /> ENERGY PATH: STORIES: i RS-"? <br /> PLAN. AC'f 'ION: <br /> ENERGY PATH: SP'" <br /> Is:I:EHA¢::KS~ CARPORI' <br /> <br /> T(H,¢¢¢,,.I) I.,.;, WOOI)LI Y.; ~ARION COU4'rY BUILDING UFF);CIAL / BY <br /> <br /> OFF[CE COPY <br />FORM # MO <br /> <br /> <br />