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MARION COUNTY BUILDING INSPECTION <br />~SENA~OR BLDG. NO, 225 <br />22'0 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 or~ .~ property I own 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 /> I have read and agree to the terms stated on the reverse side of <br /> <br />DATE: ;12/14/E4 TIHE-" 10=47=26 <br /> <br /> AORORA OR ~7~2 <br /> <br />us~ o~ ~u~LE FAHILY DWELLINGS <br /> <br /> SAME: <br /> SITE <br /> F NONE. 578-5277 VALUATION: <br /> <br />TYPE: BUILI)ING PERHIT OR APPLICATION <br /> <br />CONTI~ACTOR,¢ <br />NAGENAUER~ MARIAN <br />SAME'_' <br /> <br />ARCHITECT/ENGINEER. NO. <br /> <br />PHOME= 678-5277 PHONE: <br /> <br /> ITEM <br />BUILD£1'IG FEE <br />PLAN REVIEW <br />BUll. DING - INVESTIGATION/DOUBLE FEE <br />BUILDING STATE $1JRCNAI~GE' <br />ZON:I:N6 BUR ,¢,NARGE <br /> <br />QUANTITY <br /> <br />TO'FAt. ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS ffEOEIPT <br /> <br />AMOUNT <br /> <br /> $32.83 <br /> $50.50 <br /> $2.55 <br /> $2.53 <br /> <br />$138.8~ <br />$138,$9 <br /> $0.00 <br /> <br />BALANCE ~UE $0.00 <br /> <br /> PAYEE: <br /> RECI~]:VED BY: pr .................................................. TYPE: CHECK ~: 0 <br /> <br /> * THIS IS <br />CONSTRUCTION CEASES FOR A PERIOD OF'lee DAYS, §RIF CONSTRUCTION FAILS TO EEET ALL <br /> EQUIRE~EHTS ~[.~T~[ ~ AN~ HARION COUHTY BUILBIN~ AH~ ZOWIHE ORDINANCES~ THIS PERMIT <br /> ALL BECONE NBLL <br /> <br />ENEB(;Y PATH: 1 <br /> <br />REHARKS: res/add <br /> <br /> FEIGHT: 11 !~ETBACKS: FR 20 <br /> I'OTAL SQ FT: 142 LS'"21~ <br /> STORIES: ; 1 RS"-/ <br /> PLAN.ACTION: RR]ZZ20 <br /> ENERGY PATH~ 1 SF' <br />*ADH. 94~109 ,,: <br /> <br />DOM,41.,.D E., WOOPL;,-~Y, MABYON COUHTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY I <br /> <br /> <br />