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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 588-812l-7 <br />CODE-A-PHONE 4:30 P.M, - 8:00 A.M. <br /> <br /> lam performing work Gna p¢opertylowno occu~Dy, <br /> I am a registered builder OR ( ) the authorized representahve SIGNATURE OF APPLICANT~ <br /> o a reg sered builder, <br /> The work wil~ be per¢orcqed by a registered bu Ider, <br /> <br /> DATE: 09/15/88 T~E= 9~51 <br />OWNER: ~, TON <br /> <br /> 5N ~ R2 <br /> <br /> ~VI LLE OR 97325 <br /> A~VILLE NO ' <br /> <br /> SINGLE F~LY ~ELLIN~ <br /> <br /> , DEL ~AR I2I :, <br /> <br /> ~Et 769~7364 S~TE NU~ER~ 53?9 <br /> VALUATI~ <br /> <br />LOT: ~ 8~CK': ~ ~E~i~; ~. TOWNSHtP; ' RANG~: ' ZONE: ~ MAP; <br /> <br />RESIDENTIAL <br /> <br />TYPE: BUILDING PER~IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TOM DORAN <br />PO BOX 185 <br />ELIaLIMITY 9?385 <br />PHONE: ?69-7364 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHAF;~E -ZONE 3 <br />8UILDING STATE SURCHARGE <br /> <br /> 10885 <br />ARCHITECT/ENGINEER, NO+ <br /> <br />PHONE.* <br /> <br />(~JANTITY <br /> <br />TOTAL ASSESSED,FEES <br />PREVIOUS .RECEI2T8 <br />THIS RECEIPT <br /> <br />ANOUNT <br /> $206.50 <br /> $134.23 <br /> $3.84 <br /> $10.33 <br /> <br />$354.98 <br />$354.90 <br /> $o.oo <br /> <br />BALANCE DUE $0.08 <br /> <br />PAYEE: <br />RECEIVED BY: CL TYPE~ CHECK ~: <br /> <br />* THIS IS A VALID PERMIT TM THIS PERMIT EXPIRES lBO,DAYS FROM' ITS ISSUE DATE. IF <br />CONSTRUCTION CEASE~ FOR A PERIOD OF 180 DAYS', OR 'IF OONSTRUCTION FA~LS TO NEET ALL <br />REQUIREMENTS OF STATE LAWS AND ~RION COUNTY 8UILD{NGAJ'4D ZONING ORDIN,~C4CES, THIS PERMIT <br />SHALL BECCt4E NULL AND VOID. <br /> <br />Sbi~ACKS: PR'~20 LS-5 RS-5 RR-5 SP.,.- <br /> <br />REI~,IARI<,S: NEN RES <br />HEIGHT: 14 TOTAL SQ FT: 1328 STORIES: 1 <br /> <br />OONALD E. WOODLEY, IV~RION COUNTY BUILDING OFFICIAL / BY <br /> <br />PLAN.ACTI~_~ <br /> <br />FORM# M(; '~'BG REV 6/87 OFFICE COPY <br /> <br /> <br />