MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO, 225
<br />220 HIGH STREET NE
<br /> SALEM, OREGON 97301
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<br /> PHONE: S88-~147 S:O0 - 4:30
<br />24 HOUR CODE-A-PHONE: 588-7904
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<br /> The work will be performed by a registered builder.
<br /> Other ,
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<br /> DA'ff':, 88/;i. 7/9~ l':i'NE,'. 11:35:17
<br />' OWNER'.
<br /> ,/.ll..I...'t;l'i:,";~ RO,SE H
<br />
<br /> i')F.'I ROZT OR 97342 ['fO
<br />US6 0¢ BUILDING' - ............................................................
<br /> MANI.iPAC'I'[JRF:D ,-"' ']'" ~ 'f ',L,f, Ti'"-
<br />"MAi~.ING ADDRESS. - ........................ SUB~)I~ISiON.' ........
<br /> NAHHOND
<br /> 41t~ SCHAI-I.:.R AV NE
<br />' <",.,A[.l,:f,%' OR 9738',5 SITE NUHSE/~:
<br /> PHSNE,;, ~9.,'¢'.%936 VALUATION:
<br />
<br />.............. ', e~8~; A ~c~6~- ...... ' fo¢~-~i~; ..... hANGS: , ZONE'.
<br />'~OT; .........................................
<br />
<br />7/~ ; t~] ~, Ir~ 5E ~ ; 1~5
<br />,'wmr.~ .... ~; ........ *~ ................ u.~?~:- ....... ..~. ,or,. "
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<br />[ ,{,~ lee ,teeee. SF NO NO
<br /> ............... . ............................. ~ ..,., ,
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<br /> TYPE: BUiLdING PERMIT OR APPLICATION
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<br /> RESIDENTIAL
<br />
<br />5-N ' R,.-;~
<br />i) F-: T R 01T
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<br /> 57056
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<br />fl~CH I TECT/EJ,IG I NEER ~ NO,
<br />
<br />CON'!'RACTOR,, HO,
<br />AI?,.:[Ii:;,..$,~. ROSE K
<br />4i'1.9 SCHAFER AV NE
<br />SALEM, OR 97385
<br />PHOF ~: 39;~-5856
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<br /> ]:'rEM
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<br />ADDIT].ONAL SIJHCHAI~GES
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<br />PHONE:
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<br />QUANTITY
<br />
<br />TOTAL ASSESSED FEES
<br />PREVIOUS RECEIPTS
<br />THIS RECEIPT
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<br />BALANCE ~UE
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<br /> PAYEE:
<br /> RECEIVED BY~ CR ......................................................... TYPE: CHECK ~:
<br /> * THIS IS A VALIB PERMIT. THIS PERNIT EXPIRES 180 DAYS FROM ITS iSSUE BATE. If
<br />CONSTRUCTION CEASES FOR A. PERIOD OF 18B ~AYS~ OR IF CONSTRUCTION FALLS TO MEET ALL
<br /> ~QU]REHENTS OF STATE LAW~ A~ HARiON ~UNTY BUIL~IN~ AND ZONZNQ ORDINANCES, TNIS PERMIT
<br /> ALL BECOHE NULL AN~ VOID.
<br />
<br /> ' ,,' FIEIGHT:, ~ SETBACKS: FR 2~
<br /> TOfAL 'SO FT: ~ LS-5
<br /> ENERGY PA'f H: - ', '
<br /> STORIES: 8 RS'"'5
<br /> , , PLAN;ACTION: R. 1,,
<br /> ENE,RGT PATH: o ....
<br />
<br /> , ,~Af E.,, f,;J~;I~I:WAL OP FI:.RM~' 4~'Z88 e HALF PER~ZT FEE~ SNOW ROOF OVER NFO HONE,, SEC,
<br /> Al: r RovI:: D 9/16/93
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<br /> UO[D Y, MARION COIJNTT BUlL, DING OFFICIAL. /
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<br />OFFICE COPY
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