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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 />l am & registered builder OR ( ) the authorized representative <br />of a registered builder, <br />'fha work wiU be peffortfl~d by a registered buUde¢. <br />Other <br /> <br />~ AUMSVItL E OR 97325 ~U~SVZLLE <br /> <br /> SAHE <br /> , ~ITE NUMBER: ~4=~45~2 <br /> <br /> LOT: ] ] { I <br /> <br /> [ , <br />,. &4 9-2 5888 : <br /> <br />TYPE: BUILDINB PERMIT OR APPLICATIOH HO: <br /> <br /> ITEM <br />91,tILDING FEE <br />PL,~N RE'VIEW <br />BUILD]]~IG STATE SURCHARGE <br /> <br />~ AYE,r,, <br /> <br />ARCHITECT/ENGINEER~ NO,, <br /> <br />PHOME:: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUSRECEIPTS <br />THIS RECEIPT <br /> <br /> DUE <br /> <br />QIJANTITY <br /> <br />AMOUNT <br /> $104.50 <br /> $67,,93 <br /> $5.23 <br /> <br /> 6177.66 <br /> $177.,66 <br /> $0.00 <br /> <br /> RECF_IYED BY: DF'_ ........ ,_; ...... ~ .......... .. ..... 2L ........ TYPE: CHECK ~: 0 <br /> ~ THIS IS A VALID PERMIT. THIS :PERMIT:EXPIRE8 188 1)AY~ FROM !TS ~SSUE DA~E,, IF <br />gOHSTRUCT~ON CEASES FOR A PERIOD OF 18B DAYB~ OR ~F CONSTRUCTION FA~L~ TO MEET ALL <br /> EDUZRENENTS OF STATE LAWS AND MARION COUNTY BUILD,NS AND ZONIN6 ORDINANCES~ THIS <br /> ALL BECOME HULL AND VOl~. ' <br /> <br />ENERGY PATH:: ~ <br />~..MARKS, ADD: BR <br /> <br />HEIGHT: SETBACKS~ FR 20 <br />TOTAL SD FT: J92 L~"5 <br />STORIES: 1 RS 5 <br />PLAN. ACTION: ER-5 <br />EMERGYP~'FM: SP~ ........ <br /> <br />PONALD E. <br /> <br />WOODLE:Y.~ MARl:ON ~ouNT~ BUll"INS OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />