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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 <br />CODE-A~PHONE 4:30 P.M, - 8:00 A.M. <br /> <br />I am performing work on a property I own or occupy. <br />lamaregisteredbullderOR( ) the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder, <br />Other. <br /> <br />this document, <br />DATE: 01/25/90 TIME; 14;00:29 <br />OWNER: SHAW, SAM <br /> <br />SITUS ADDRESS: <br /> <br /> 10173 KEENE LANE SE <br />AUHSVi LLE OR 9?325 <br /> <br /> SINGLE FAMILY DWELLINGS <br /> <br />2915 HAIrCFHORNE <br />SALEM 9?303 <br />PHONE: 588-6689 <br /> <br />LOt: 18t_OCK; ~66TION: 7OWNSHIP: <br /> 18 8S <br /> <br />WIDTII: :DE PTt~: AREA: 33 . U N~T$: AC <br /> <br />, TAX LOT~ <br /> 56044--000 I CATEGORY; RESIDENTIAL <br /> <br />SUBDIVISION: <br /> <br />SITE NUh~BER: 5141 <br />VALUATION: $10,000.00 <br /> <br /> 1W EFU 45 <br /> IRR£G LOT:NO CO~R: ' <br /> <br />TYPE: BUILDING PER~IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO- <br />SHAW¢ SAM <br />2915 HAWTHORNE <br />SALEM 9?303 <br />PHONE: 588-6689 <br /> <br /> ITP_J',4 <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE <br />BUILDING STATE ,!~JRCHARGE <br />ZONING SURCHARGE <br /> <br /> 21310 <br />ARCHITECT/ENGINEER, NO_ <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSED FEES. <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AFtOUNT <br /> $80.50 <br /> $52,33 <br /> ~3.84 <br /> 4.03 <br /> $4.03 <br /> <br />$144.72 <br />$144.73 <br /> $o~oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: <br /> RECEIVED BY: PB TYPE: CHECK ~: 0 <br />* THIS tS A VALID PERMIT * THIS RER~4IT EXPIRES 180 DAYS FROM ITS ISSUE DATE, IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION PALLS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />~ALL 8ECOf4B NULL AND VOID. <br /> <br />SETBACKS= FR_20 LS_10 RG_10 RR~__<~_ SR ..... <br />REMARKS: E~TEND LIVING R/Vi& BDR~ OF MH & AD, DECK R~6742 <br />HEIGHT: TOTAL SQ FT; ?92 -STORIES: <br /> <br />DONALD E. NOODLE"Y, MARION COUNTY BUILDING O~'FICiAL / BY <br /> <br />OFFICE COPY <br /> <br />PLAN.ACTION; ?D 88~'16 <br /> <br /> <br />