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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 /> Other .... <br /> <br />DAf'E: 09/27/91 'f' fNP: 8:10:13 <br /> FUNKE, HAROLD <br /> <br />SITUS ADORESS; <br /> <br />SIGNAFURE OF APPLICANT <br /> <br /> DATE: <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br />5510 WINDSOR ISLAND N-- <br /> OR 97,308 <br /> <br />USE OF BUILO~NG~ <br /> <br />CQNTRAOT CITY; <br />KEI£ER <br /> <br />UGB <br /> <br />MAILING ADDRESS: <br /> <br />SUBB VISION: <br /> <br />5510 WINDER ISLAND RD NE ~95 <br />KEiZER OR 9?303 <br />PHONE; 393-3184 <br /> <br />LOT' BLOCK SECTION; TOWNSH F <br /> <br />SIIE NUI'4~ER: <br /> YALUAriONt <br /> <br />RANGE <br /> <br />WIDTfi DEPTH AREA: UNITS BAEG LOT <br /> <br />NO <br /> <br />NO <br /> <br />CATEGORY: <br /> RESI DEN li <br /> <br />OCCUPANCY: <br /> <br /> 8121 <br /> <br />ZONE MAP <br /> <br />CORNER <br /> NO <br /> <br /> 'TYPE; MEIg,'HANiCAL PER~]i'f OR APPLICATION <br /> <br />C¢~'I'RAC1 OR NO. <br />PUNKE, HA~LD <br />5510 WIND~OR iSLAND RD NE <br />KEiZER OR 97303 <br />PHONE: 393-3184 <br /> <br /> i'['E~ <br /> <br />MECHANICAL SASE FEE <br />MECHANICAL S'FAf'E SURCHARGE <br /> <br />PAYBE: FUNKE, HAROLD <br /> <br />35529 <br /> <br />I'O'f'AL ~E~ED FEES <br />PREViCUS RECEiP'r~ <br />'rHiS RECEIPT <br /> <br />QUANTITY AM©UNI <br /> 1 $7.5o <br /> $1o.oo <br /> $0.88 <br /> <br />$18_38 <br /> $0,00 <br /> <br />BALANCE B~E $0.00 <br /> <br />RECEIPT NO: 37442 <br /> <br /> RECEIVED BY: P~ TYPE; CK CHECK ~: 1288 <br /> <br />~ THIS iS A VALIO PERMIT * THIS PERMZTEXPiRE~ 180DAY~ FROI~I ITS I~x~JE I~ATE. iF <br />(,'E~STBCTI(~N 6~ES FO~ A PBIOB OF 18~ DAYS, OR IF C~STRUCTION FAIL~ TO ME6I ALL <br />RE(~UI~EI~ENT~ OF STATE I~ AN~ MARION ~NTY BUILDIN6 AND ZONIN6 ORDINANCES, THIS ~ER~11'I' <br />· ~ALL ~E-~E NULL AND VOID. <br /> <br />R~qARKS: NOOLTS'f'OVE R~2628 <br /> <br />DONALD E. AYJDLEY, ~RiON COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC ~ $'§6 RSV, 4/~O OFFICE COPY <br /> <br /> <br />