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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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: 5@8-7904 <br /> <br />O~her. <br /> <br />[his document <br /> <br />ow~tE.~ 11/07/9t ! tME*. <br /> <br /> JORE~AN, DOUGLAS <br />SITUS ADDRESS <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />RbBiDbNI JAL <br /> <br /> 645 OAK SI' <br /> AUIV~Vi LLE <br />USE OF SUILOING <br /> <br />OR 9?325 <br /> <br />CONTRACT CITY <br /> <br />NO <br /> <br />OCCUPANT LO~~] <br /> <br />MAILING ADDRESS R~iBaNI iAL A~RY SfRUC'IURES SUBO~V,S,ON <br /> <br />LOT <br /> <br />PO ~OX 661 <br />AUMSViLLE OR 9?325 <br />PHONE: 749-1406 <br /> <br />WKAt't 69-6333 <br /> <br />WILDWOOD ADUN ~2 <br /> <br />SiTE NUMBER: <br /> VALUAI ION: <br /> <br /> 2956 <br />$1,400.00 <br /> <br />10 2 25 <br /> '!5 95 '7125. <br /> <br />8S mnEa LOT 2t~ CO~NER <br />5F NO NO <br /> <br />IYPE: ~UiLDiNG PERIVliI OR APPLICAI'ION NO: <br /> <br />OON1RACIOR, NO. <br />JORDAN, OOUGLAS <br />PO BOX 661 <br />AU~ISVILLE OR 9?325 <br />PHONE: 749-1408 <br /> <br />BUILDING FbE <br />PLAN RE¥IkN <br />BUILDING STALE SURCHARG~ <br /> <br />PAYEE; <br /> <br /> 36445 <br />ARCHi1ECT/ENGiNEER, NO. <br /> <br />TOTAL A,SS~EO FEES <br />PREVIOUS RECEI Pl"$ <br />I'HIS RECEi P'f <br /> <br />QUANIiIY <br /> <br />AF~UNI <br /> $23.50 <br /> $15.28 <br /> $1.18 <br /> <br />¢39.96 <br /> 39,9b <br /> $o_0o <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVED BY: PB .................................................................... IYPB; C~ECK ~: 0 <br /> <br />* THIS IS A VALID P~R~II · ~HiS PER~IlI EXPIRES 180 DAYS FROM IlS I~E DAIE. IF <br />CONSrRUCIION CEASP.~ FOR A PERIOD OF 180 DAYS, OR iF o'r.~s'rRuorzoN FALLS FO MEEI ALL <br />RE(~JiREMENIS OF SIAla LAW~ AND ~RiON COUNTY BUILDING AND ZONING ORDINANCES, IHi5 PERMiI <br />SHALL BEGONE NULL AND VOID. <br /> <br />SEIBACKS: FR 20 LS 5 ~ 5 RR 5 SP <br />RFJ~IARKS: RES'CARPORT & NOO[.~EO ............ <br /> <br />HEIGHI: 8 IOIAL ,!~ Fit 280 SFORiES; <br /> <br />DONALD E. I~¢OOOLEY, ~ARION COUNTY BUILBiNG OFFICIAL / 8Y <br /> <br />PLAN .ACf iON; <br /> <br /> OFFICE COPY <br />FORM if MC 15,56 REV 4/90 <br /> <br /> <br />