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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />29 HIGFt 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 />[ am performing work on a property I own O¢ OCCupy, <br />lamarogistorCdbuildorOR( )theauthorizedrepfesentative <br />of a registered builder, <br />The work will be performed by a registered builder. <br /> <br />ow~'i'E: 06/20/90 'i-tHE: tl :61:55 tax LO~: <br />SITg~ ADDRESS: CQNSTRUCTION TYPE: <br /> <br />RESi DENT <br /> <br /> 12475 FI;~f RD NE <br />AURORA OR 9?002 <br /> <br /> CONTRACT CITY: <br /> <br />fctARi ON COUNI'Y <br /> <br />NO <br /> <br />MAHING AOORESS; RESIDE:NTfAL Acc~RY S'I'N'"~C'f'UR~ SUDD,V,S,ON: <br /> <br />12483 FRY ROAD NE <br />AURORA 97002 <br />PHONE: 8'/8~2557MSG <br /> <br />~I'I'E NU~ER: 5180 <br />VALUA'i' iON: $500.00 ............. <br />RANGE: ZONE: MAP; <br /> <br />21 UNITS: '~ InnEO LOI '~ CORNER: EPU 8 <br />60255. SP' NO NO <br /> <br />TYPE: BUILDING PERMIT OR APPLiCATiON NO: <br /> <br />CONTRACTOR, NO. <br />PEA~ON, <br />12483 FRY ROAD NE <br />AURORA 97002 <br />PHONE: 678-2557M5~6 <br /> <br /> 24490 <br />ARCHI'FECT/E~GiNEER, NO. <br /> <br /> I'FE~ <br />BUILDING FEE <br /> <br />FLEET SUROHAFCSE -ZONE <br />BUiLDiNG S'rA'FE~JRCTr~ARGE <br />ZONING SURCHARGE <br /> <br />'FOTAL ASS~ED FEES <br />PRBVIOU$ RECEIPTS <br />THiS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $~o.oo <br /> $8.s0 <br /> $7.68 <br /> ~0.50 <br /> 0.50 <br /> <br />$25.18 <br />$25.~8 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> TYPE; CHECK ~: 0 <br /> <br />* 'IHiS IS A VALID PER,lIT m I'Hi~ PEFEfllI' EXPIRES 180 DAYS FRC~I ITS iS.~t. JE DATE. IF <br />CONSTRUCTION CEAS'ES FOR A PERIOD OF 180 DAY~, OR IF CONSTRUCTiON FALLS TO MEET ALL <br />REQUIRE~EN'fS OF STATE LA~'¢~ AND MARION CQUNTY BUILDING AND ZONING OR01NANCES, THiS <br />SHALL BECOME NULL AND VOID. <br /> <br /> ~E'I'BACKS: FR 20 LS 10 RS 10 RR 30 SP <br /> <br /> NON""COf~lEROiAL USE ONLY <br /> <br /> DONALD E+ I/,X.2ODLEY, ~RION COUNTY BUILDING OFFICIAL / BY .__~~ OF~ICECOPY <br /> <br /> <br />