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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97;301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P,M. - 8:00 A,M, <br /> <br />I am perform~n9 work on a property I gwn or occupy. <br />lamaregisteredbullderOR( )theauthorlzedregresentatlve <br />o¢ a registered builder, <br />The work will be gedormed by a registered builder. <br />Other. <br /> <br />SlTUSq't~,~SS.~,RNDT RD NE I CONSTRUCTION YYPE: ! OCCUPANCY: <br />~[ ;ROR,A OR 97002 <br /> <br />M 8,~J~ AOCRES~: <br /> <br />LOT: : BLOCK; <br /> <br />WIDTH: DEPTH: <br /> <br /> TYPE: St. jILDI~G <br /> <br /> 2 I..S .... M ~ AR <br /> iSEO¥1ON: ?OWNSHIP: ! RANGE: ; ZONE ]:MAP: <br /> : 1..50000 ! AC ! NO ! NO <br /> ,; AREA: i UNITS: i~ IRREG. LOT; :i CORNER: <br />PERP'!TZ OF,: APPLTCATT.C~ N©: 6~3 ~ <br /> <br />CONTRACTOR. fv, O. <br />MURPHY, LESLIE E <br />SAM E <br /> <br />E;UiLO lNG FEE <br />;;*LAN ~EVI EH <br />?L, EET SLJRCHA,'~GE ~ZONE ¢ <br />BUiLDiNG STATE SURCHARGE <br /> <br />PAYEE: <br /> <br />ARCHITECT~ENGiNEER, NO. <br /> <br />PHONE: <br /> <br />QUANTa,. <br /> <br />AS'tOUN T <br /> $ ? 4 .. 5 C <br /> <br /> $ '7.6 ~? <br /> $ 3. ? :9 <br /> <br />ZOTAL ASS~ED FEES <br /> <br />TY, PE :, ,,,,, :, CHECK <br /> <br />:~- ~"i~IS ~S A v,~L.~O PERMIT *' tH~S PERMIT 'EXPIRES '];'80'OAYS,:~O~:,~TS ISSu~ OATE <br />CO~I~TRLJCTION CEASBS FOR A PE~ZOD OF' 180 DA~S~ GR,~E',C~ZRUCTiON FALLS TO NEET <br />REObZREHENTS OF STATE LA~S AND MAR~ON ZONTNG OROZNAi~Ct¢,:~. ~,*~l,:> <br /> <br />SETBACKS: <br />REMARKS: <br /> <br />DONALO F. <br /> <br />?R"..20 ;~S-] O ~-i0 RR-30, SP-.. <br />L'F~L]:TY & SATH ADD RCf8915 ' : :': <br /> ,~, ~_,R. ES: <br /> <br />?__AN <br /> <br />MAR]ON Q_)UN,, BUILDING OF!=;CiAL ,/ BY <br /> <br />FORM" MC 1~-!16 REV. 8/87 OFFICE COPY <br /> <br /> <br />