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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH ST~{EET NE <br /> SALEM, ~REGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A,M, <br /> <br /> I am performing work on a property I own o¢ occupy. <br /> lamaregisteredbullderORI ) the authorized representative <br /> of a registered builder. <br /> The ~ork will be performed by a registered builder, <br /> Other , , <br /> I have read and agree to the terms stated on the reverse side of <br /> this document. <br /> <br />DATE: 0~,/, 0/88 TIME: .00:09p <br /> E [ EL. EI',IaERG, MR. <br /> <br /> 9053 SHAM SQUARE RD <br />AJvsvi LLE OR 9?325 <br /> <br /> 5 -N <br />SE <br /> <br /> MARION COUNTY <br /> <br /> R e> T DENT IAL. ACCF2SSQR, c~ ~ RUC. IU.R~,,D.. , <br />MAILING AD'RE'S: ! SUgg V S ON <br /> <br /> ~ SZTE NUMBE~: 3822 <br /> PHONE: i <br /> V, ,LUATZO~ <br />~OT: edocx. '~EbfiE~: ;TOWNSHIP: ~, RANGE: ~' ZONE: MAp: <br /> <br /> 24 8S <br />w~m.: 180 DEPTH: 543 ~AEA,. 86880.0 ~UNITS: <br /> <br />,,PE: BUILDING PERMIT OR APPLICATION NOt <br /> <br />CONTRACTOR, NO. 43644 <br />WHITE, STEPHEN <br />2175'! FERN RIDGE RD SE <br />STAYTON, OR 9'7383 <br />PHONE: 859,-2883 <br /> <br /> iTEM <br />BUILDING FEE <br />2LAN REVIEW <br />FLEET SURCHARGE --ZONE 3 <br />BL,I~L, DING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br /> 85?5 <br />ARCHITECT/ENGINEER. NO. <br /> <br />PHONE; <br /> <br /> :'fOTAg ASSESSED~EES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br /> <br />BALAN:CEDUE <br /> <br />OUANTITY <br /> <br />AMOUNT <br /> $50.5C <br /> $32. ,.93 <br /> $3,84 <br /> <br /> 2.53 <br /> <br />'92,23 <br /> <br /> THiS IS A V~LIO PERMIT ~ THIS ,FRO~ ITS iSSUE DATE. <br />~ST~UCTI~ CEASES FOR A PERIOD OF'180 DAYS~ OR IF,:~STRUCTION FALLS TO MEET ALL <br />~E0~IRE~NT¢ O~ ~ATE LAWS ~D ~ARION COUN~:SUILD;[:gG~,AND ZONING ORDINANCES. THiS PERNIT <br />oHALL 8E~O~E NULL AND VOID; <br /> <br />,~E,aACK,~ FR-20 LS-]0 RS.-10 RR-I~ SP-_ .... <br />REMARKS: CARPORT -- ONE END OPEN R~891'5 <br />HEIGH'F~ ~ ? "~ <br /> ~O,A~ oQ FT: 642 STORIES: 1 <br /> <br />DC)NALD E. NOODL. EY. MARION COUNTY 9UILDING O,,.C~A~. / DY <br /> <br />PLAN~ <br /> <br />'O~M ,, MC ~e REV ~/.~ OFFICE COPY <br /> <br /> <br />