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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> P~ONE ~88-5147 <br /> CODE-A-PHONE 4;30 P,M,, - 8::00 A,M, <br /> <br />DATEi: 12/16/87 TIME: 10:47:49e <br /> <br /> HANI LAND. ROBERT <br /> <br /> '~027 DONORE DR SE <br />AUfClSVI LLE OR 9?325 <br /> <br /> SINGLE F/~4:[LY DNELLINGS <br /> <br />Pt~ONE: 362w1355 <br /> <br /> ? 1 <br /> <br />SIGNATURE O¢ APPUCANT <br /> <br />DATE <br /> <br />TAX LOT <br /> <br /> CONSTR'UCTION TYPE <br /> 5-N <br /> <br />MARION COUNTY i NO <br /> <br />CASCADE PARK <br /> <br /> SITE NUMBER: 1399 <br /> VALUATION: <br /> <br /> SECTION ~¢OWN~HFR .... [ RAN~ ! ZONE <br /> <br />:AR~ 3-00000 ~UNITS AC ; ~RREG L~T NO <br /> <br />iN0 OF BEDROOMS <br /> <br /> 3 <br /> <br />$0.00 <br />IMAP <br /> 82.6 <br /> <br />TYPE: BUILDING PE~IT OR APPLICATION <br /> <br />'CONTRACTOR, NO. <br />~HAN I LAND, ROBERT <br /> <br />:PHONE: 362-1355 <br /> <br /> ITEN <br />TECHNICAL REVIEN, FINAL INSPECTION <br /> <br />PAYEE: <br /> <br /> 2282 <br />ARCHITECT/ENGINEER, NO. <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QU~uNTITY ANOUNT <br /> $25.00 <br /> <br />$25.00 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVED BY: Db ...... TYPE: CHECK ~: <br /> ~ THIS IS A VALID PE~IT ~ THIS PER~IT EXP~RE~ 180 DAYS FROM ITS ISSUE DATE. IF <br />I. CONST~UCTION C~E~ FOR A PERIOD OF 180 DA~; Or IF~$~CTI~ FAI~ TO MEET ALL <br />RETIREMENTS OF STATE ~ ~D ~RI~ ~N~ BUILDING ~O Z~ING ORDIN~CES, THIS PE~IT <br />~ALL BEdE NULL ~D ~ID. <br /> <br />SETBACKS: FR-_ ............ LS- ~ .... ER-, ....... S~ <br /> <br />PEr,ARKS: FINAL R~5712 <br />HEIGHT: 15 TOTAL ,.~ FT: 0 STORIES: 1 <br />DONALD E. NOODLE'C, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />PLAN. ACT ION: <br /> <br />FORM ~ MC I~ ~6 ¢~ 4~.' OFFICE COPY <br /> <br /> <br />