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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 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am per(ormin9 work on a property I own or occupy. <br />I am a registered builder OR the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other <br /> <br /> 0ATE: 10/29/91 :'[~r',IE; 21:38 <br />OWNERz ' TAX LOT: <br /> MCCOY, RONALB <br /> <br /> AU~Vt LLE OR 97325 , <br /> <br />ADDRESS; RES i DF3'4:f' ,(AL' AGCE~R¥ <br /> <br />: CATEGORY: <br /> RESi DENT IAL <br /> <br /> PHONE: 749-2553 SiTE NUMBER: 689 <br /> VALUA'f' J, ON: $2,900.00 <br />LOT[ ;SLOCK; !S~tflONi TG~SHiE: RANGE; ; ZGNE: t MAP: <br /> <br /> 24 8S 2W AR3 <br />~Jdl'H: ,DEPTH; , AREA: : UNITS; , IRREG. LOT: : CORNER: <br /> <br /> : 1.4,1 AC NO i NO <br /> <br />51 <br /> <br />TYPE: BUILDING PEP, J~Ii'T' OR APPLJCA'T'iON NO: 36264 <br /> <br />CVONTRACTOR, NO. <br />IW-3COY. RONALD <br /> <br />ARCHITECT/ENGiNEER, NO. <br /> <br />PHONE; ?49-2553 PHONE: <br /> <br />BUILDING FEE <br />PLAN <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />'~:O'fAL~ED FEES <br />PRE¥iO~SRECEIPT5 <br />THiS RECEIPT <br /> <br />BALc~,NCE f.~JE <br /> <br />(~UAN'T'iI'Y <br /> <br />AMOUN 'T' <br /> $22.50 <br /> $21.13 <br /> <br /> $58.89 <br /> $o.00 <br /> <br /> $o_0o <br /> <br /> RECEIVED BY: MB _~....~_'~ : . ]'YPEz CHECK ~: 0 <br />* THIS iS A VALID PERMIT ~: i!HIS PER¢4~'¥' EX~iRES 180 ~AY~ FRO~ l'l'~ i~E DATE. iF <br />CONS'TRUCTiON CF_.~,SES FOR A, PERIOD 'OF ~80 B¢.Y~,OR iF CON$'FRUC'f'iON FAILS 'T'O HEEl ALL. <br />R~UiREMEN'f'~ OF ~'TA'T'E LA~,~5 AND MARION COUNI'YBUiLD[NG AND ZONING ORDINANCES, IHIS PERr4if' <br />SHALL.BECOME NULL AND VOID_ <br /> <br />SETBACKS; FR 20 L5 10 RS 10 RR 30 <br />RE~ARKS: CQ~LE'T'iON'"'PERMIT"'FOR (;~&F~GE <br /> NONCOf4C4Ek~CIAL U~E ONLY <br />HE~GHf'~ 16 TOTAL S~ F'T': 0 STORIES: <br /> <br />OONALD E. WOOOLEY, MARION f,%.,~UN'f'Y BUILDING OFFiCiAL / BY <br /> <br />OFFICECOPY <br /> <br /> APPROVED FOR PRIVA'T~! <br />PLAN_ACTiON; CU88~,35 <br /> <br /> <br />