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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREG_ON 97.,301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M, - 8:00 A,M. <br /> <br />I am performing work or1 a propedty I own o¢ occupy. <br />I am a re?istered builder OR the authorized representative <br /> of a reglJered builder, <br />The work wil{ be performed by a registered builder. <br />Other, <br /> <br />DATE: 03/04/88 TIME: 12:44:22o <br /> <br /> GAUTHIEr, PETEr & I'(AREN <br /> <br />SITUS ADDRESS: <br /> <br /> 81o ?TH ST. <br />AU~VILLE OR 97325 <br /> <br />USE OF BUILDIN(~: <br /> <br />TAX LOT: <br /> <br /> 2ONSTRUCTION TYPE <br /> 5-N <br /> <br />CONTRACT CITY UGB <br />A~MSVI LLE NO <br /> <br />CATEGORY <br /> ¢~ ES "[ DENTIAL. <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAC <br /> <br />SINGLE FANILY DNELLING~ <br /> <br />SUBDIVISION <br /> <br />:AIR OAKS ESTATES <br /> <br /> SANE <br /> <br /> PHONE: ?49-2932 SITE NUNSER: <br /> VALUATION: <br /> <br />LOT BLOCK SEC lick TOWNSHIP. RANGE <br /> <br /> 18 3 25 8S 2N <br /> <br /> 81 95 7695.00 SF NO <br /> <br /> 816.200.00 <br />ZONE: MAP' <br /> RS 51 <br />,CORNS <br /> <br />TYPE: BUILDING PERN]T Or APPLICATIO~ NO: <br /> <br />CONTRACTOR. NO. <br />GAUTHIER, PETEr & KARF~N <br />SAME <br /> <br />PHONE: ?49-2932 <br /> <br /> ITEM <br />BUILDING FEE <br />pLAN REVIEN <br />FLEET surCHARGE -ZONE 3 <br />BUILDING STATE SUI:~DHARGE <br /> <br /> 6949 <br />ARCHITECT/ENGINEER, NO, <br /> <br />PHONE: <br /> <br />(7,JANTITY <br /> <br />AIvK)UNT <br /> $122_50 <br /> $79.62 <br /> ~3.84 <br /> 6,13 <br /> <br />TOTAL A'-gSE, SS£D FEES $212_:0 <br />PREVlOUS RECEIPTS $212.~0 <br />THIS~RECEIPT $0.00 <br /> <br />BAL.~ICE DUE $0.00 <br /> <br />PAYEE: <br />rECEIVED BY: BM %YPEh CHECK <br /> <br />* THIS IS A VALID PERNIT * 'THiS ;~ERM:IT .E-Xp~RES 180 DAYs FROM fTS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PEriOD OF 180 DAYS;: or :IF, CONSTRUCTION FALLS TO M~,ET ALL <br />rEQUIrEMENTS OF STATE LA~ AND NATION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL 8ECONE NULL AND VOID. <br /> <br />SETBACKS: FR-20 LS-15 R~-5 Rr-5 SP~%___ <br />REHARKS: FAM.RM/BATH/BDRM ~DDITION .... <br />HEIGHT: 12 TOTAL SO FT: 540 '"'!;;:!:"STORIES: 1 <br />DONALD E_ NOODLE'Y, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />PLAN.ACTION: <br /> <br />,o~v, Mc ~ ~-~,,:~ ~v e/~ OFFICE COPY <br /> <br /> <br />