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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: S88-~147 S:O0 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> The work will be performed by a registered builder. <br /> Other , <br /> <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,. " <br /> <br />[ ,{,~ lee ,teeee. SF NO NO <br /> ............... . ............................. ~ ..,., , <br /> <br /> TYPE: BUiLdING PERMIT OR APPLICATION <br /> <br /> RESIDENTIAL <br /> <br />5-N ' R,.-;~ <br />i) F-: T R 01T <br /> <br /> 57056 <br /> <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 <br /> <br /> ]:'rEM <br /> <br />ADDIT].ONAL SIJHCHAI~GES <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE ~UE <br /> <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 <br /> <br /> UO[D Y, MARION COIJNTT BUlL, DING OFFICIAL. / <br /> <br />OFFICE COPY <br /> <br /> <br />