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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE * Room 132 · Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 · 24-HR Inspection Line: (503) 588-7904 <br /> <br /> DWELLIHG APPLICATION <br /> DATE/TIME 1~/84/95 14=45 ACTIVITY NO : ?5-15296 <br /> <br />CLASS 1-Family Dwelling, detached APPLIED : ~8/22/1975 <br />OCCUPANCY S-S TO EXPIRE : ~2/18/1Y96 <br />,CONSI'RUCTIUH V-N PAGE 1 <br /> <br /> VALUATION : ~141~ 465.66 <br /> WORK DEBC : NEW RES:[DENCE <br /> <br />SITE ADDRESS <br /> OTREET <br /> <br />CITY: biARI[IN COUNT'Y <br /> <br />20242 OI,hISTEAD RD NE AR <br /> <br /> : BUTTEVILLE RD <br />RARCEL NUMBER : '74'780-310 <br /> <br /> : I:'~RCEL, SIZE"_ : 10.0 <br /> <br />: OWNER NAME : GIROUARD~M RICHARD <br /> <br />:APPLICANT <br />NAHE : ~IROUARD,~ ~ICHARD <br />ADDRESS : 20241,'! OLMSTEAD RI) NE <br /> AtJROI:~A OR <br /> <br />: 648-~119 <br /> <br />· , i PHONE <br /> <br /> CSNTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />97001 <br /> <br /> : I;IROI.)AI~D~ RICHARD <br /> <br />BUTt_DZNG SQ F'T: 2,360 STORi(ES:'2 <br />Un:Lts <br /> <br /> 1.0 Pi. an review <br /> 1 Residential plt~mbin~ fee <br /> 1 I~esiderH::i. al mecha~iL~l fee <br /> 1 Residm'~t:(~11 electrical fee <br /> <br /> 1 Zone surc:horge <br /> <br />224~20 <br />15S.40 <br />47,,20 <br />I41.60 <br /> <br /> 20,,00 <br /> <br /> Assessed ~"ees 1, ,¢ 0~.4,, 7 / <br /> Ad jus't:~eni:s .00 <br /> <br />PAYEE: ~I~OUARI).RICHARD Ba]a'"e ~e : ~544.9~ <br /> <br />THIS IS WOT A PERMIT. THIS APPLI~ATIO~ M~OT GO THROUGH A SIMULTANEOUS REVIEW PRQ~ESS <br />WHERE ZONING. SEPTi~ (IF APPLICABLE) AWD ~ON~TRU~ION PLANS ARE CHECKED PRIOR TO THE <br />~SSUANCE O~ A PERMIT. IT ~ THE RESPQNGIBILITY OF THE APPL~OANT TO ASSURE THAT ALL <br /> <br />BEEN MET, YOU WI[[ BE NOTIFIED THAT YOUR PERMIT HAS BEEN ISSUED. <br /> <br />SIGNATURE. OF AF'F'L]',CAI,IT~ <br /> <br />1)f),,lA[..g ~ WOI]DLEY~ <br /> <br />.............................................................................. FOR ~FF~CE USE ONLY .................................................................................... <br /> <br />?'!AP:~ (, Zrllqf~:',~ EFU PROPER'FY LOCA'I'OR~ ~41W19B ~70~ <br /> <br /> <br />