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MARION COUN'I'Y BUILDING INSPECTION <br />COMMUNrl'Y 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 /> I)WELLIH[; PERHIT <br />DATE/TIHE : 1~1/30/96 13:26 PERHIT NO : 76-0B410 <br />TYPE : New Single Family Dwelling STATUS : ISSUED <br />CLASS : 1-Family D~elling, detached ISSUED : ~1/3~/1996 <br />OCCUPANCY : R-3 TO EXPIRE : ~7/28/199~ <br />COHSTRO~TION : V-N PAGE 1 <br /> <br />VALUATION -: $92v ...... 8.88 <br /> <br />W IRK OESC : NSFD/AI~flSVI!...~.E HEAQOWS l. OT 2 BLK 4 <br /> <br />SITE A~QRFSS : CITY: AUHSVILLE 865 CHERYL ~" <br /> <br />CROSS STREET : 8TH <br /> <br />PARCEL N~MBER : <br /> F:'ARCFi, SIZE <br /> <br />OWNER NAM. E <br /> <br />APPLICAN*F <br /> NAME <br /> AD.~RESS <br /> <br />F HO, I :: <br /> <br />:ONTRAC FOR/ <br /> AGEI,!] <br /> PHONE <br /> <br />: 7S72.0 SI.".' <br /> <br />: KEIZER BUILDING & DESIGN <br /> <br />: KUBISHTA MIKE <br />: 4.!.~t AI:'Pt. EB[OSSOM AVE I,I <br /> SALEM. tlr 97~03 <br /> <br />: KIiB'.[SHTA MIKE <br />: KI!BiSHTA~ Mil(El <br /> ~De-4716 <br /> <br />F R ]F~..RT f I.OCATOR: <br /> ZONF: RS <br /> <br />0063578 <br /> <br />BUILDING SR- F'T: i.,763 <br /> <br />STORIES: I HEI[.HI': <br /> <br />Units I)e~c!"iot ior, Fee <br />:i..H Plan review fee 167,,49 <br />1 R~'sidenti~! plumb:lnq fee 114.60 <br />I Residen~::i.~1 mechaniC:a! fee ~5.26 <br /> I Reside~r~:i.~i ~'~]~.'+r~r 1 fee ' <br /> .............. a _. 18,,,,, 78 <br /> <br /> Assessed fees : 750.61 <br /> Ad j ust'ments : .88 <br /> Tot'al fees : 75~). 61 <br /> · Toi:'a.1 payments: 750.6i <br />F'AYEE: KIJB~HT~ M.IKE Bat anr'~ due ' ' ~B <br />****************************************************************************************** <br /> <br />THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 1~ ~TS FROM ISSUE DATE IF WORK HAS <br />NOT COMMENCED, OR IF CONSTRUCTIOH CEASES FOR A P~IOD OF 188 DAYS, OR IF WORK <br />FAILS TO NEET ALL REQUIREMENTS OF STATE LAWS AHD MARION. COUNTY ORDINANCES. UPON <br />WRITTEN REO[IEST, ONE SIX MONTH EXTENSION NAY BE GRANTED. <br /> <br />SI[;t,IATURE OF APF'!.iCANT: <br /> <br />**************:~* ~:*** :~*********************************************:~************* <br />D!')WAiD E. WOOD!.EY~ MARTON ...... COUNTY ~t [~.o'r!,!G. 'OFFI "-'~,~F.L ,/ BY DFRE!I...!I-~~ <br /> <br /> <br />