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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 <br />CODE-A-PHONE 4:30 P,M. - 8:00 A.M. <br /> <br />Other~ <br /> <br /> SE! LS'TEIN, dON <br /> <br /> ¢ R~:SI DEN]' IAL <br />5N R3 <br /> <br /> 8763 SHAH SQUARE RD SE <br />,AUMSVI LLE OR 9732,5 <br /> <br />SAME <br /> <br />PHONE: 585-8988 <br /> <br />TYPE: BUILDING <br /> <br />CCAITRACTOR, NO, <br />~EILSTEIN, JON <br />SAME <br /> <br /> SITE NU~ER: <br /> VALUATION: <br /> <br /> 04 8~ 2N <br /> 3,10000 ~ AC NO <br /> <br />PERMIT OR APPLICATION NOt ~'~'~74~ <br /> ARCHITECT/ENGINEER, NO. <br /> <br />PHONE :~ 585~8986 <br /> <br /> ITEm <br />8UZLOZNG FEE <br />PLAN REVI~N <br />FLEET SLIR~-{ARGE -ZONE 2 <br />BUILDING STATE SURCHARGE <br />%ONING SJRCHARGE <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCEDUE <br /> <br /> ~880.00 <br />~0~i ...... i-~x~i <br /> AR5 ¢ § <br />CORNER; <br />NO <br /> <br />QbAN, I I Y <br /> <br />AMOUNT <br /> $14.50 <br /> $,48.4,3 <br /> $2.58 <br /> $3.73 <br /> <br />$132.95 <br /> $0. O0 <br /> <br />$0.00 <br /> <br />PAYEEt <br />RECEIVE~ BY: JB ............... ~ ........ TYPEt CHECK :~: <br /> <br />~ THIS iS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS ~SSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REC~IAEMENTS OF STATE LAMS AN0 MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHAL. L BECOME NULL AND VOID. <br /> <br />SETBACKS: FR-20 LS,,,~0 RS-10 RR,~30 SP~.____ <br /> <br />REMARKS: FAMZ!,,,Y ROOM ADDN R~'7927 <br />HEIGHT: TOTAL SO ET: 480 STORIES: <br /> <br />DONALD E, NOOOLEY. MARION COUNTY BUILDING OFFICIAL. / <br /> <br />PLAN A'TI 5N: <br /> <br />'cc ~ ~.~,~ r~v ~/,~ OFFICE COPY <br /> <br /> <br />