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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97801 <br /> <br /> PHONE: 588-5147 Si00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />The work will be performed by a registered builder. <br /> <br />I have read and agree to the terms stated on the reverse side ol <br />this document, <br /> <br />DETROIT OR 97342 , DETROIT NO <br />NANUFACTURED STRUCTURE <br /> <br />:ow~[.: DATE: 091~,0/93 TINE: .14:.27:20 <br /> TAX LOT: : CATEGORY: <br /> ALLIES. ROSE M : RESIDENTIAL <br />' SITUS A~B~: ; CONSTRUCTION TYPE; ~ 8CCUrA~YZ <br /> <br /> .... 5~ ~. R=3 <br /> 1Se N BUT'rE ST -- , CONTRACT CITY; '~ UGB: ;OCCUPANT LOAO; <br /> <br /> _ _ ~Hi'IOND <br /> 4:I, 19 8¢HAFER AV FIE <br /> o, Ai_.EH, OR 97305 SITE NUNBEI~: 93=03109 <br /> FHONE: 393-5836 VALUATION: $4,8~8.80 <br /> <br /> , ---- ' Bi~dk: I' $ECTION '. TOWN~HIP: , RANG~: T~ ZONE'. MAP: <br />LOT: <br /> <br /> UNITS: <br />WIDTH: ~DE~H: ~ AREA'. , RREG, LOT; CORNER'. <br /> <br /> TYPE: BUILDING PERHIT OR APPLICATIOH <br /> <br />CON'fRACTOR, NO. <br />ALLIES,, ROSE <br />411,9 SEHAFER AV NE <br />SAL, EN~ OR <br />PFICINE: ~9~-5836 <br /> <br /> ITCH <br />BUILDING FEE <br />PLAN REVIEW <br />BUII,,,DIN6 STATE SURCHARGE <br /> <br /> 49788 <br />ARCHITECT/ENG'(NEER~ NO. <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />TOTAl_ ASSESSED FEES <br />PREVIOIJ$ RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT <br /> $44.50 <br /> $28,,~ <br /> $2.23 <br /> <br />!~75.66 <br />$75.66 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: <br /> RECEIVE~ BY: PM2 .......................................... TYPE: CHECK ~: 0 <br /> <br />ERIOD:OF 18~ DAYS, OR IF CSNSTRUCTION FAILS TO NEET ALL <br />EQU[REMENTS OF STATE LA~S AND ~ARION COUNTY BUILDING AND ZONING OEDINANCE$~ THIS PERMIT <br /> ALL ~ECO~E NUL~ AND VOID. <br /> <br /> HEIGHT: <br /> TOTAL SQ:FT: <br />ENERGY PATiH: ::['[~ STORIES: <br /> ::PLAN.ACTION: <br /> ENERGY PATH= <br />REMARKS;; METAl,,. COVERED SNOW ROOF C)VER EXIST:IH6 NS <br /> <br />0 <br /> <br />SETBACKS: PR 20 <br /> L, 0'"'5 <br /> RS'"'5 <br /> AR--15 <br /> <br />DONAL. D E. WOODLEY~ ,AR,,O~ COUNTY ]!dJZ[_DING OFFICIAl_ / BY <br /> <br /> OFFICE COPY <br />FOgM # MC 15-~ REV, <br /> <br /> <br />