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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG~ NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97501 <br /> <br /> PHONE: 588-5147 8:00 - 4:$0 <br />24 HOUR CODE-A-PHONE: 888-7904 <br /> <br />Other <br /> <br /> PO BOX 608 <br /> SHELTON WA 98584 <br /> PMONE: 206-264-6226 <br /> <br />,LOT'. <br /> <br />!'WiDth; }'~i :~ ~, ~ ~'. ~ EG. LOT: ~ ~NER; <br />': ~ ~ 'NO ~.NO <br /> <br />?-"~E[TEN~USH'LONEE'CANP ¢ ~¢ <br /> SITE NUMSER~ 95-00659 <br /> VALUATION: SgO~O00,,O0 <br /> <br /> ~02 <br /> <br />TYPE: ~OILDING PERMIT OR APPLICATION NO: <br /> <br />COiq'fRACTOR~ NO. <br />HEI~GERKEN~ GEORGE F. <br />F'O BOX &OB <br />8HELTOH ~A 98584 <br />PHONE: 206~264-6 <br /> <br /> ITEM <br />BUlL, DING PEE <br />PLAN EEVIEW <br />~U~LDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br /> ¢~59464 <br />ARCHITECT/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br /> TOTAL ASSESSE~ FEES <br /> PREVIOUSRECEtPTB <br /> THIS RECEIPT <br /> <br />,::: :' ~ALAflCE SUE <br /> <br />QUANTITY <br /> <br />PAYEE:: <br />RECEIVED BY: CE <br /> <br />TYPE: CHECK ~: 0 <br /> <br />AHOUNT <br /> $].93.00 <br /> $].25.45 <br /> $9,,65 <br /> $9.65 <br /> <br />$337.75 <br />$3~7.75 <br /> $0,,00 <br /> <br />$0.00 <br /> <br /> * THIS IS A VALID PERMIT. THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOE A PERJODOF 180 DAYS~SR IF CONSTRUCTION FALLS TS MEET ALL <br /> EQUIREMENTS DF STATE LA~ AND MARION ~BLI~T¥ BUILDING AND ZONiN& ORDINANCES, THIS PER~IT <br /> ALL DECOHE NULL AND VOID. <br /> <br /> HEIGHT: 15 SETBACKS: FE <br /> TOTAL 8Q FT: 432 LS .... <br /> ENERGY PATH: STORIES: 1 RS ............ <br /> ELAN.ACTION: RR ........ <br /> : ENErgY PAT~: sP:Z:: <br /> REMARKS: CABIN ~2 NEEP[; SEPTIC APF'[_ICA'TION~ CU 84-55 CONDITIONS NOT flE'f~ EXPIRE/FORFEIT <br /> 12/28/~5 ~ CR <br /> <br /> DONAt_Q E, WOO~LEY~ MARION COONTY BUILQING: OFFICIAL / BY ............................................................................ <br /> <br />OFFICE COPY <br /> <br /> <br />