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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH ~TREET NE <br /> SALEM, oREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M - 8::00 AM <br /> <br />I ,3m performing work on 8 property I own or occupy <br />lamaregisteredbuHderORt ~thoauthorizedrepre~entative <br /> <br />SIGNATURE OF APPLICANT' <br /> <br /> DATE <br /> <br />DATE: 04/26/88 <br /> LUCAS, REX <br /> <br />TIME: 4:31:48p <br /> <br /> 575 OLNEY ST <br />AU~SVILLE OR 9?325 <br /> <br />USE OF BUILDING <br /> <br /> 'fAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> CONTRACT CITY <br /> <br />AUIV~V I LLE <br /> <br />5N <br /> UGB <br /> <br />NO <br /> <br />MAIL lNG ADE)RF$g SINGLE FAMILY DWELLINGS <br /> <br />PO BOX 290 <br />AUMSVILLE 9?325 <br />PHONE: 749-2576 <br /> <br />RESIDENT:[AL <br />R3 <br /> <br />?0 100 <br /> <br />SITE NUMBER: 4246 <br />VALUATION' $28,000- 00 <br /> <br /> RS <br /> IRR~G LOT CORNEF{ <br /> NO NO <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO,, <br />LUCAS, REX <br />PO BOX 290 <br />AUIvL~VILLE 97325 <br />PHONE: ?49-25?6 <br /> <br />PERMIT OR APPLICATION NO: 8080 <br /> ARCHITECT/~GINEER, NO. <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEN <br />CLEET SURCHARGE '~ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE; <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />QUANTITY <br /> <br />A~©UNT <br /> $170,,50 <br /> $110.83 <br /> $3.84 <br /> $8_53 <br /> <br />~293.70 <br />293_70 <br /> $0-00 <br /> <br />BALANCE DJE $0_00 <br /> <br />RECEIVED BY: dm ................................ TYPE: CHECK ~: <br /> <br />* THIS IS A VALID PERMIT * THIS PER~IT EXPIRES 180 DAYS FROM ITS ~SSUE DATE. IF <br />CONSTRDCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REOUIREMENTS OF STATE LAMS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />SETDACKS: FR-20 LS-5 RS-5 RR'--5 SP"" <br /> <br />REMARKS: NEW RES <br />HEIGHT: TOTAL SO FT: 86t STORIES: <br /> <br />DONALD E- WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />PLAN.ACTION: <br /> <br /> <br />