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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 />lamaregistered builder OR( )theeuthorized representative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other_ <br /> <br />I have read and agree to the terms st&ted on the reverse side of <br />this document, <br /> <br />, ,]UEQEi.4~ .BE.ENARB & DEBRIE ~,705~-000 <br /> <br /> U ~A'~T LOAD: <br /> ~ Ct. ES'fEE ST __ ~-~: ~"0'~,. <br /> ~['I'ROIT O~ 77~42 9ETROIT :NO <br />;USE OF BUILDING; I NO. OF 8EORO0~S: <br /> <br /> MAILING ADDRESS'. ; SUBDIVISION: <br /> <br /> ?e~ SALE~ HEIGHTS AV S <br /> ~ OR ; SZTE NUN,ER: 94-~3378 <br /> ~ 371-6361 ~ VALUATION: $24~ 9~,. ~ <br /> <br />TYPE: ,UILDIHG PERHIT OR APPLICATION HO: <br /> <br />CONTRACTOR. HO. <br />JUEDEN. BERNARD & DEB~IE <br />900 SALEM NEIGFIT8 AV S <br />SALEM, OR <br />PHONE: 371-'6~61 <br /> <br /> iTEM <br />BUILDING FEE <br />PLA REVIEW <br />ADDITIONAL BUILDIhlG FEES <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE: <br /> <br /> 57739 <br />ARCHITECT/ENGINEER. NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />A~OUNT <br /> $170.50 <br /> $110.83 <br /> <br /> $8.53 <br /> <br />$293.97 <br /> $0.00 <br /> <br />BALANCE'~UE $0.00 <br /> <br /> RECEIVED BY: DF TYRE: CHECK ~: 0 <br /> <br /> · THIS IS A VALI~ PERMIT. THIS',PERMIT EXPIRES 188 DAYS FROM ITS ISSUE BATE. IF <br />CONS[RUCTION CEASES FUR A PERIOD OF'IS~ ])AYS~ OR IF CONSTRUCTION FAILS TO MEET ALL <br /> E~U[REMENTS OF STATE LA~S AND MARION CDUHTY BIJ[LDING AN~ ZON[NG ORDINANCES~ TH~S PERHZT <br /> <br />ALL BEC§NE NULL AND VOID. <br /> <br /> HEIGHT: 18 SETBACKS: F'R 20 <br /> : <br /> TOTAl_ S9 FT 0 k.$_;~ <br />ENERGY PATH.' STORIES: 1 RS 5 <br /> PLAN. ACTION: RR'" 15 <br /> ENERGY PATH: SP".~ .... <br /> <br />Rli'£HARKS: EES/A]DB REMODEL AUTH:FL~ PF-5-28~94. TWO BEDROOM MAXIMUM RESIDENCE.9/28 RECVD <br /> FAX PF *NO PREVIOUS,INFO ON FILE <br /> <br />DONALD E. WOODLEY~ HARION COUNT~ BUILDING OFFICIAL/By ................................................... <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. 4/90 <br /> <br /> <br />