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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET N5 <br /> SALEM, OPCEGON 07301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 P,,M,, - 8,OO AM <br /> <br /> I have read and a~ree to the terms stated on the reverse side of <br /> this document <br />DATE; 05/16/87 TIME: <br /> <br />OWNER CONTINENTAL TELEPHONE <br /> <br />DATE <br /> <br />TAX LOT CATEGORY C <br /> <br /> SITUS ADDRESS CONSTRUCTION TYPE OCCUPANCY <br /> <br /> 215 NEST FOREST <br /> OETROIT OR 97342 CONTRACT CITY UGB OCCUPANT LOAD <br /> DT <br /> <br />USE Of- BUILDING NO 0F BEOR00MS <br /> <br />MAILING ADDRESS SUBDIVISION <br /> HAIqlVE)ND <br /> <br />PHONE: SITE NUMBER: 1451 <br /> VALUATION: $15,000,00 <br /> <br />LOI BLOCK SECTION TOWNSHIP RANGE ZONE MAP <br /> 28 6 1 10 5E 105 <br /> <br />WIDTH DEPTH AREA UNITS IRREG LOT N CORNER N <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. DALKE <br />KEN DALKE <br />P.O. BOX 5051 <br />SALe'S,l, OREGON 97304 <br />PHONE: 585-?403 <br /> <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE <br />STATE SURCHARGE <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />,,~ ~ 0UANTITY A,"4OUNT <br /> - <br /> $71.83 <br /> $8.96 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$195.71 <br /> $o.oo <br /> <br />BALANCE DUE $0 , O0 <br /> <br />PAYEE: INVOICE NO: <br />RECEIVED BY: D~ TYPE; CHECK <br /> <br />CONSTRUCTION CF.A~E~ FOR A PERIOD OF 180 DAYS, OR IFCONSTRUCTION FAIL~ TO MEET ALL <br />RE(~SIREMENTS OF STATE LA~S AND MARION ~OUNTY'-.BUILDINGAND ZONING ORDINANCES, THIS PERMIT <br />,~4ALL BECO~4E NULL AND VOID. <br /> <br />SETBACKS: FR-____ <br /> <br />REIVlARKS: RE-ROOF <br />HEIGHT: TOTAL <br />DONALD E_ WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ....... <br /> <br />OFFICE COPY <br /> <br /> <br />