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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 />The work will be performed by a registered builder. <br />Other <br /> <br /> FU'I'I~RE B~ lng 4e428-000 RESIDENTIAL <br /> <br /> 5~ ........... ~ccuPANT LOAD= <br /> ~4~33 EHL, EN ED NE coNm~c~ C~TV; <br /> AURORA OR 77~2 AURORA NO <br />"USE O~ ~I'L'DING; NO OF BEDROOMS <br /> <br />~ SINGLE FAMILY ~ELLINGS 4 <br /> <br />10150 SW SEDI..AK CT <br />TUALATIN OR 97862 SITE NUMBER: <br />PHONE: 692-3386 VALUATION~ <br /> <br /> I <br /> ~.12 ................... ~ ................. 1W ...... <br /> <br />12~ ! 426 53250, ~ SF NO <br /> <br />94-83425 <br /> $115~510.00 <br /> <br />i NO <br /> <br />TYPE: D~ELLING PERNIT OR APPLICATION NO: <br /> <br />COI,ITRAOTORo IlO. <br />FUTURE B, Il'lC <br />10158 SW SEDLAK CT <br />TUALAI'IN OR ~70&2 <br />PHONE: 692-;)386 <br /> <br /> ITEM <br />DWELLING PLUMBING <br />DWELLING ELECTRICAL <br />DWELLING STA'rE SURCHARGE <br /> <br />PAYEE: FUTURE B, INC <br />RECEIVED BY: ld <br /> <br /> 58758 DP <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPT~ <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />ANOUNT <br /> $157,71 <br /> <br /> $14,04 <br /> <br />$294~90 <br /> $0.00 <br />$294.98 <br /> <br />BALANCE DUE $0.00 <br /> 61~29 <br /> <br /> TYPE: IN CHECK ~: 0 <br /> <br /> ~ THIS IS A VALID PERMIT. THiS PERNiT EXPIRe.IS8 DAYS FRDH ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 188. DAYS,, OR IF CONSTRUCTION FA]'LS TO NEET ALL <br /> ALL BECOHE NULL AND VOIO. <br /> HEIGHT: 28 SETBACKS: F'R <br /> TOTAL gQ FT: 2688 LS ......... <br /> STORIES: 2 RS ......... <br /> PLAN, ACTION: RR ....... <br /> ENERGY PATH." t Sp'L'"',;;7] <br /> RI:.MARI'~,.,o DP,'.EL,~ PI_ ONLY <br /> <br /> DONALD E. WOODI..EY~ HARION COUNTY DUIL~ING OFFI£I~L / BY ..................................... <br /> <br />OFF)CE COPY <br /> <br /> <br />