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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 />Other <br /> <br />thi~ document, <br /> <br /> F'I EI'ROK~ CLARENCE ~ 60,466-000 RESIDE,Hr IAL <br />SITUS ADDRESS; : CONSTRUCTION TYPE[ ~ OCCUPANCY'. <br /> <br /> OCCU ANT LOA~: <br /> AUMSVII. LJ~ OR 77J25 ~ARION COUNTY ~NO ~ <br /> <br /> SIHGLE FAMILY DWELLINGS <br /> <br /> PHONE: 769-5~64 VALUATION: $5~ 95~. ~B <br /> } ~ ...... ~S .... 1N ' E~' U ~68 <br /> <br />! 5. ~ AC I NO i NO <br /> <br />TYPE: ~U,LDING PERHIT OR APPLICATIOH HO: <br /> <br />CONTRACTOE~ NO. 07625 <br /> Car~a Builders <br /> Box 6 <br />S't'aytol'N 9738J-0000 <br />PHOi',IE~ 769-324~ <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUI[.BING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE: <br /> <br /> 58329 <br />ARCHITECT/ENGINEER~ NO. <br /> <br />PHONE:: <br /> <br />TOTAL ASSESSEB FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $56.50 <br /> <br /> $2.83 <br /> <br />$98.89 <br />$98.87 <br /> $0.00 <br /> <br />BALANCE DUE ~0,,00 <br /> <br /> RECEIVI{D BY: DF'____..._ TYPE: CHECK ~: 0 <br /> <br />COHSTRUCTIOH CEASES FOR A PERIOB OF 180 DAYS, ~ IF COHSTRUCTION FALLS TO HEET ALL <br /> <br /> HEIGHT: 15 SETBACKS: FR 20 <br /> TOTAL SQ FT: 170 LS-20 <br />ENERGY PATH: 1 : STORIES: RS-"20 <br /> PLAN. ACTION: RR-20 <br /> ENERGY PATH: 1 SP <br />REMARKS: APl)lNG I)INII,IG <br /> <br />OONALO I:iZ.. WOODL. EY, HARIgN COUNI'Y BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />