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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 />I have read and agree to the terms stated on the reverse side of <br />this dogument. <br /> <br />:bW~Ek;PATF;',: 08104/94 T3:~E:¢ :{0,142:: :(5 fkX~O~; CATEGORY; <br /> <br /> "~ k~ ~ VE:RNON <br /> <br /> USE OF CUSLDiNG; ::NO OF BEDROOMS: <br /> <br /> PHONE: 599-12~4 VAI_IJA'F~ON: $8~ 4~8.0~ <br /> ~ I <br /> <br />TYPE: BUILDING PERMIT OR APPLICATIOM <br /> <br />COI,!TRACZOR., NO,, 56040 <br />3573 Crookod F'infier Rd <br />PHONE: 873-2778 <br /> <br /> ITEM <br />BU ILI)lNf; F't::'I:; <br />F'LAN REVIEW <br />BUJ:LI)~N[; STATE SURCHAR{;,~r <br />ZONING SURCHARGE <br /> <br />ARCHI1-ECT/ENGINEER, NO. <br /> <br />PHOI,iE: <br /> <br />t]UANTZTY <br /> <br />TOTAL ASSESSED FEES <br />PREVIOIJ8 RECEIPTS <br />l;I-ilS RECE t PT <br /> <br />2ALANCE DUE <br /> <br />AMOUNT <br /> $74.50 <br /> <br /> $3.73 <br /> $3.73 <br /> <br />$ .I.;~0. ~9 <br />$1,30. ;39 <br /> $0,, 00 <br /> <br /> RECEIV,r.D BY: DH .................................................. TYF'E: CHECIx ,~: 0 <br /> <br /> * THIS iS A VALID PERMIT. THIS PERNITEXPIRES 188 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR ~ PERIOD'OF .1BO DAYS~ OR IF CONSTRUCTION FALLS TO MEET ALL <br /> EflUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDINg AND ZONING ORDINANCES, THIS PERMIT <br /> ALL BECOME MULL AND VOID. <br /> <br /> PATH: 1 <br /> <br />RfZ'MARK!;: LN'IRY & OFFICE TO MS <br /> <br />IIEIGI-II': SETBACKS: F'R 20 <br />TOTAL SB ~-T: 240 LS'"'10 <br />STOR ~ ES: ~ R S'"' :L ;~ <br />PLAN. ACTION: RR"/ <br />ENERGY PATH: 1 SP <br /> <br />OtT'h'~i.D E., !,!O0)')LEY, MARl:ON COUhTY ,'OUI,.DIN(; OF'FI;CTAL / BY .......... ~ ..................................... <br /> <br /> OFFICE COPY <br />FORM # MC 1 ~-~6 REV, 4/~0 .... .. <br /> <br /> <br />