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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 PM - 8::00 A M <br /> <br />I mm performing work on ~, property I own or occupy <br />I am a registered builder OR t ) the authorized regresentatNe <br />ol a roglstered builder, <br />The work will be pedormed by 8 registered builder <br />OtheE <br /> <br />DATE: 06/10/87 TIME: 3:59:24r~ <br /> I'RViNG, STEVE <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX <br /> <br /> CONSTRUCTION <br /> <br /> 405 SANTIAM AVE CONTRACTCITY <br />DETROIT OR 9?242 <br /> <br />USE OF gUILCING <br /> <br />5-N <br />UGB <br /> <br />DT N <br /> <br />HANNOND <br /> <br /> PHONE: SITE NUMBER: <br /> VALUATION: <br /> <br />LO)' BLOCK SECTION TOWN,NIP RANGE ZONE <br /> 25 9 1 10 5E <br />WIDTH DEPTH AREA UNITS IRREG LOT CORNER <br /> N <br /> <br />OCCUPANCY <br /> <br /> R-3 <br /> <br />NO OF BEDROOM5 <br /> <br />1585 <br /> $200-00 <br /> MAP <br /> <br /> ? 105 <br /> N <br /> <br />TYPE; BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 4085 <br />ALPHA CONST. CORP- <br />585 JUSTICE ST SE <br />SALEM, OREGON <br />PHONE; 384-4144 <br /> <br /> ITEM <br />BUILDING FEE <br />FLEET ELJRCHARGE -ZONE <br />STATE SURCHARGE <br /> <br /> 2548 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE; <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />.AMOUNT <br /> $10.00 <br /> ~8.96 <br /> 0_40..,~,._~=~_ <br /> $19.36 <br /> $19.36 <br /> $0-00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: INVOICE NO: <br />RECEIVED BY: cl TYPE: CHECK <br /> <br />:~ THIS IS A VALID PERMIT ~ THIS PERMIT ,EXPIRES 180 DAYS FROM ITS I,~SUE DATE. IF <br />CONSTRUCTION CF~SES FOR A PERIOD OF~'180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REqEJlREMENTS OF STATE ~ AND MARION C~JNTY BUILDING' AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />SETBACKS: FR-____ LS- RS- RR-__~ <br /> <br />REMARKS: FOUNDATION REPAIR .... ^ <br />HEIGHT~ TOTAL SQ FT: ' ~ STORIES: 1 PLANNING ACTION: <br />DONALD E. NOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ............ ~ ............ <br /> <br />OFFICE COPY <br /> <br /> <br />