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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG NO 225 <br /> ..... ,~. 220 HIGH STREET NE <br />,~ SALEM, OREGON 97301 <br />"*-"',IF <br /> <br /> PHONE:: 588-5147 8::00 - 4::30 <br /> 84 HOUR CODE-A-PHONE:: 588-?904 <br /> <br /> of a registered bui{der <br /> <br /> Other <br /> <br />CAFE: 05/30/91 rzo4E; 15~81=51 <br /> <br /> B~ZE, CONRAD ~ R~ LEE <br /> <br /> ?898 BARBARA LANE <br />AUIvI~VILLE OR 9?325 <br /> <br />RESIDENTIAL A~'CF~RY ~rF~C]-URL;S <br /> <br />$1ONATURE OF APPLICANT <br /> <br />TAX LOT <br /> <br />1'4ARiON COUN IY NO <br /> <br />RANCH <br /> <br />RESI DEN 1 IJ <br /> <br />PHONE: ?69-4? 1 ? <br /> <br />4- 4 33 85 <br /> 3. ar AG <br /> <br />48 <br /> <br /> fYPE: BUILDING PERMif OR APPLICATION NO: <br /> <br />OQNfRACIOR, NO. <br />8OOZ~, CONRAD & RO~, LEE <br /> <br /> 31957 <br />AROHiIECI/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />~UILDiNG FEE <br />PLAN RE¥1EW <br />BUiLDiNG ~fAIE DUR'h~HARGE <br />£ONING f;~JRO~AN'TCE <br /> <br />lOIAL ~E~ED FEE$ <br />IHi~ RECEIP'f <br /> <br />(~JANI i IY <br /> <br />M,'IOUNI <br /> $128.50 <br /> $83.53 <br /> $6.43 <br /> <br />i~24.89 <br />224_99 <br /> $0.00 <br /> <br />BALANCE r..XJE $0.00 <br /> <br />PAYEE: <br />RECEIVED BY: Pti] IYPE: CHECK ~: 0 <br /> <br /> * /HiS iS A VALID PER. Il * ]HIS PERNiI EX~IRES 180 DAY8 FROM IlS i~UE <br />CONSIRUCIION C~ES FOR A PERIOD OF 180 DAYS. OR iF CONStRUCtiON FAIL~ 10 NEEf ALL <br />REOUIREMENIS OF SIAIE LAW~ AND ~tARiON Cf~N'Iy BUiLDiNG AND ZONING ORDINANCES, THI~ PERMiI <br />~HALL BECOME NULL AND VOID. <br /> <br />~EIBACK~: PR 20 LS 10 F~ 10 RR 30 ~P <br /> <br />HEIGHI: 12 'tO1AL ~ Pi: 1440 5fORi~: I P~N.ACIION: ~ <br />~ALD E, ~DLaY, SRI~ G~N'IY BUiLOING OFFICIAL / BY ~ <br /> <br /> OFFICE COPY <br />FORM # MC 15-58 r~EV <br /> <br /> <br />