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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 am performing work on a property I owr/ or occupy. <br />I am a registered builder OR ( ) the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other <br /> <br />this document. <br /> <br />MAILING ADDR-~¢i_,R.I:,~ ...... MEH I S ' ................................. T,~-u'~,~igiE'~; .................................... 16'- <br /> <br /> I SMII'H'~ S AI)D:~'f ION <br /> ,.0.8 COMMc. I'diIAI.. ,.S':I' SE <br /> SAI_EM,, OR 977¢~2 , SITE NUMBE~: <br /> <br />W ~TH, ]gEPTH ; AREA ! UN TS; IRREG. LOT: } CORNER; <br /> <br />NO NO <br /> <br />TYPE: BUILDINI~ PERtiIT Ol~ APPLICATION <br /> <br />~OHI'RAC rOR~ NO. 79800 <br />ar-fei E' Bcthm[ <br />95~ ])ares Rd SE <br />Aum?vil lc.. ~7725-,e~4ee <br />PHO~4E~ 76? ,.2~74 <br /> <br /> ITEM <br />~UII_DIH6 F'EE <br />Pi. AN REVIEW <br />BI,JJ:;,,,OZf,l~; STATE SURCHARGE <br /> <br /> 58661 <br /> <br />ARCI"II TECT/D'IG I NEEF(~ NO. <br /> <br />PNONE: <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br /> $619.45 <br /> $47,.65 <br /> <br /> TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> . THIS RECEIPT <br /> <br /> BALANCE DUE ~;0,,~0 <br /> F'A~F.E~ Dar're1 E Bethel <br /> .... ,: z ~ . ,. 52186 <br /> RS.t.,..ZV(,~ *~Y~ ~¢ ....................... ~ ...... TYPE: ZN CHECK ~: 0 <br /> * THIS is A VALID PERNIT. THIS PERNiT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIODOF lSe DAYS, ORIF CONSTRUCTION FALLS TO HEET ALL <br /> EGUIREMENTS OF STATE LAWS ANB HA'BIO'COUNTY BUILDING AND ZONING ORBiNANCES, THIS PERMIT <br /> AI.L BECOHE NULL AND VDIS. <br /> <br /> PAI'H: 1 <br /> <br />REHAFU,~S: 8,,-PL, EX AF'ARTME~'r <br /> <br />:HEIGHT:' 17 S((TBACKS: FR !5 <br />TOTAl. SQ FT:: &480 LS"77 <br />STORIES: 2 <br />PLAN.ACTION:: RR'"8? <br />ENERGY PATH: 1 SF'"" <br /> <br />00NALD E. WOODL. EY, MARION COUi,ITY 2UILBING,OFFICIAL /BY <br /> <br />FORM # MC 1 ~-58 RSV. 4/90 OF FICE COPY <br /> <br /> <br />