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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 /> of a registered builder. <br /> The work will be performed by a reg stered builder. <br /> Qther <br /> <br /> BATE,' 05190197 'lrI¢4g: 1~:58:14 <br /> <br />OWNEn HAK, MYRON & GENEVIEVE <br /> <br />BATE <br /> <br />CATEGORY; <br /> <br />RESIDEN')'IA[ <br /> <br />SITUS ADDRG$$; <br /> <br /> 8325 REL.'~OOD DR <br /> AUMS¥1LLE <br /> <br />OR 97325 <br /> <br />SE <br /> <br />UBE OF BUiLDiNG <br /> <br /> SINGLE FAMILY D~ELLiN~ <br /> <br /> ANfHONY CANNIZZO - BROTHER <br /> SALEM BRO'FHER~3?8-15?0 <br /> f-~'4QN E: 818~845-5764 <br /> <br /> CONSTRUCTION TYPE <br /> <br />~AR10~ O(:XJN l'Y <br /> <br />NO <br /> <br />OCCUPANCY; <br /> R.,-,3 <br /> <br />OCCUPANT LOAD: <br /> <br />8ll'E NUMBER: 9620 <br />VALUATION: $55,848.42 <br /> <br />LOT. BLOCK SECTION TOWNSHIP <br /> <br /> RANGE: ZONE MAP <br />8S 2~ AR3 49 <br /> <br />TYPE: BUILDING PERf411' OR APPLICATION NO: <br /> <br />92221 <br /> <br />OON'FRAC'f'OR, NO. 838?? <br />FILDER BUILDING CONS'r. <br />26162 F~C~'T'ER RCA0 <br />NONROE, ORE 97456 <br />Pt-ICiEr 424~5151 <br /> <br />ARCHI'FEC'F/ENGiN~ER, NO. <br />PHONE: <br /> <br /> Il'B4 <br />BUILDING FEE <br />PLAN RE¥ I E~ <br />BUILDING STATE SURCHARGE <br />ZONING BURCHARGE <br /> <br />(JUANI'I'fY <br /> <br />ANOUNI' <br /> <br /> 195.65 <br /> ~15.05 <br /> 15.05 <br /> <br />TOTAL ~E~,SED FEES <br />PRE3/1OU$ RECEIPTS <br />THIS RECEIPT <br /> <br />$526_75 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: <br /> RECEIVED BY: ~f~ ...................................................................................... TYPE: CHECK ~: 0 <br />* THIS iS A VALID PERC41T * I'HI5 PEF~4IT EXPiRE~ i80 DAYS FR'O~ ITS iSE7~£ DATE. IF' <br />~s'r~o'rl~ c~E5 FOR A P~RiOD OF 180 ~, OR iF ~BT~CTi~ FAi~ TO NEET ALL <br />RE~IREMEN'I'¢ OF 51'ATE ~ ~D:~i~NTY BUILDING ~D Z~iN~ ORDIN~CES, ~'H~$ PEril' <br />~ALL B60~¢ NULL ~D VOl0. <br /> <br />SE'I'BACK$: F'R LS RS RR ~ ................ <br />REI~¢ARKS: CONPEET'ION PERRIT ..... R~7594 ................ <br /> <br />HEIGHT': 'tOTAL SQ P"f: 0 STORIES: Z <br />DONALD E. VCOOBLE¥, NARION (Y.]~NTY BUIL01NG OFFICIAL / BY <br /> <br />PL,¢¢4. ,t~J 1' iON: <br /> <br />OFFICE COPY <br /> <br /> <br />