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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,4vl,, - 8::00 A,,M,, <br /> <br />I am performing work on a property I own or occupy <br />lamareg,steredbuilderOFfl )theauthodzedrepresentativo <br />of a registered budder <br />The work will bo porformed b~' a registered buifder <br />Other. <br /> <br /> this document <br /> <br /> DATE: 06/08/8? <br />OWNER i'4AI R, JANES <br /> <br />S~US AOSRESS <br /> <br /> ?727 SHERMAN RD <br /> AUIvlSVI LLE <br /> <br />USE DP gUILglN6 <br /> <br /> SAME <br /> <br /> PHONE: 749-1339 <br /> <br />TIME: <br /> <br /> SE <br />OR 97325 <br /> <br />SINGLE FAMILY DNELLINES <br /> <br />SECTION TOWNSNIP <br /> 28 8S <br /> <br />A.SA 1. 55000uNIts: AC <br /> <br />SIGNATURE OF APPLICANT <br /> SATE <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TY~E <br /> 5-N <br /> <br /> N <br /> <br />OCCUPANCY <br /> <br />NO OF 6EOR00MS <br /> <br />~f~=' - ...... --$~O,160.00 <br /> <br /> RANGE ZONE MAp <br /> 1N AR 48 <br /> IRREG LOT N CORNER <br /> <br />CONTRACTOR, NO. <br />IvlAIR, JANES <br />SAME <br /> <br />PHONE; 749-1339 <br /> <br />:RE~I:'GI~ APPLICAT: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REV I E~ <br />FLEET SURCHARGE -ZONE 3 <br />STATE SURCHARGE <br />~70N ING ?;,U k"'CHARGE <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />I:~ONE: <br /> <br /> OUANT~TY <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />4 <br /> <br />ANQUNT <br />$146.50 <br />$95.23 <br />$3.84 <br />$5.86 <br /> <br />$258.76 <br />$258.?6 <br /> $0.00 <br /> <br />BALANCE 0UE $0-00 <br /> <br />PAYEE; INVOICE NO: <br />RECEIVE0 BY: PB .................. · _ TYPE: CHECK <br /> <br />~ THIS IS A VALID PERMIT ~ THIS PERMIT EXPIRES 180 BAYS FROM ITS ISSUE BATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAY~. ORJ,F CONSTRUCTION FAIL~ TO MEET ALL <br />REQUIREMENTS OF STATE LANSANDMARION'COUNTY8UILDINGAND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br /> ...., <br />DONALD E. ~DL~, ~RI~ ~NTY BUILDING OFFICIAL / BY ~ <br /> <br />OFFICE COPY <br /> <br /> <br />