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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-PHONE: 588-7904 <br /> <br />of a registered builder. <br />Tfle wo~'k will be performed by a registered bullder. <br />Other <br /> <br />I have resd and agree to the terms stated on the reverse side of <br />this document. <br /> <br />?wNERJ)ATI,.,, 07/$$~7'~ TINE. ~8, 46, ~ I TAX LOT: ..... <br /> <br /> 1~J8 CLEVEI_ANI) ST __ -CO"TRACT CITY; ~ LOAD: <br /> AUHSVILL, E OR ~7~25 ~UHSVILLE NO <br /> <br /> PO BOX 783 <br /> AUNSVILL. E.~ OR ~7325 SITE NUHBER: <br /> PHONE= 74~-1178 VALUATION: <br /> <br />TYPE: ~UILDZNG PERHIT OR APPLICATION <br /> <br />CONfRACTOR~ HO. 25~02 <br /> N&cholm CormtructJ. on :[nc <br />12164 W Stayto~ Rd <br />Au~sv~,l].e. ~7~25-0000 <br />PHONE: <br /> <br /> ITEH <br />BUlL. DING FEE <br />PLAN REVIEW <br />BU~L~ING STATE SURCHARGE <br /> <br /> 56088 <br />ARCHITECT/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSEB FEES <br />PREVIOUS RECEIPT~ <br />THIS RECEIPT <br />BALANCE DUE <br /> <br />QOANTITY ANOUNT <br /> $?8.50 <br /> $64.03 <br /> $4.~3 <br /> <br />$167.46 <br />$167.46 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> PAYEE: <br /> RECEIVED BY: d~ ....................................... TYPE: CHECK ~: 0 <br /> <br /> $ THIS IS ~ VALI~ PERMIT .... [HIS,,PERHIT,EXPIRES 181~ DAYS FEOH ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A ~ER~'O~ OF i~ ~AYS~' OR IF CONSTRUCTION FAILS TO MEET ALL <br />EOUIREHENTS OF STATE LA~S ANn',HARmON' COUNT, Y BUILDING AN~ ZONING ORDINANCES, THIS PERHIT <br /> ALL BECOME HULL AN~ VOIg. ' , <br /> <br />ENERGY PATH: <br /> <br />:: HEIG4T': SETBACKS: FR 20 <br /> TOTAL SB FT: LS-'7 <br /> <br /> : PI,:AN. ACTION: RR'"'20 <br /> ENERGY PATH: SP- <br /> <br /> <br />