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MARION COUNTY BUILDING INSPECTION <br />SENATOF{ BLDG. NO. 22.5 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:OO A.M. <br /> <br />DATE; 07/12/88 TI~E; 9: 10:59e <br />OWNER: <br /> I~,[,JFFIVtAN, ADRIAN & PEARL <br /> <br /> 19756 OU'4STEAD ROAD <br />AURORA OR 97002 <br /> <br /> I RESZDENT;[AL <br /> ........... 5,N / <br />.~R.} ON -CO~N'::FY~.... -- '- · .. · NO '. <br /> <br />MAiLiNG ADDBES,~: SINGLE FAIViILY DWELLINGS S~mVl~i~N; ...... <br /> <br />PHONE ~ <br />LOT BLOCK: <br /> <br />TYPE; BUILDING <br /> <br /> SITE NUIY~BER: 4844 <br /> <br /> !5:000© ,: 6q ; <br /> <br />PERMIT OR APPLICATION NO: 9549 <br /> <br />CONTRACTOR, NO. 52404 <br />ALJETS CONSTRUCTION <br />8480 s'r' PAUL HIGHWAY <br />NOODBUP~, OREGON 97071 <br />PHONE~ 878-1172 <br /> <br /> ITEM <br />BIJILDZNG FEE <br />PLAN REVIEW <br />FLEET SUROHAF~E -ZONE $ <br />~UILOING STATE SURCHARGE <br />ZONING .,~URCHARGE <br /> <br />PAYEE: <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PRECIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $193.86 <br /> $125_45 <br /> $6.40 <br /> $9.55 <br /> $9.65 <br /> <br />344.15 <br />344_I5 <br />$0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />R~CE]VED BY: PB TYPE:' :CHECK ~: <br /> <br /> THIS IS A VALID PEt~4IT ~ THIS PERMIT EXPIRES 180 DAYS EBON ZTS Z~E DATE. IF <br />CONSTRUCTION CEASE~ FOR A PERIOD OF 180 DA%~ OR [¢~NsT~CTZ~ FAZL.S TO NEET ALL <br />~E~ZRE~ENTS OF STATE LA~ AND NARZ~ C~NTY BUILD,NCnB Z~Z~G ORDINANCES, THIS ~E~ZT <br />~ALL BECOHE NULL ~D ~3~O. <br /> <br />SETIBACKS= PR-20 LSd10 R~-IO RR-30 ,SP~_~ : <br />R~,,-DV~ARKS: ADDING KITCHF.,N, BATH. UTILITY AND GARAGE R~7812 <br />HEIGNT~ TOTAL SQFT: 980 STORIES: 1 PLAN.ACTI~N:..~ <br />DONALD E, WOODLEY, MARION COUNTY BUILDING OF?ICIAL / BY '~/,,~' <br /> <br />~'o~ ,, ~c .~¢¢, ~cv ~¢~r OFFICE COPY <br /> <br /> <br />