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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG,, .,NO 225 <br />220 HIGA STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM, - 8:00 A,M <br /> <br />I am performing work on 8 property I own or oocup'y <br />lam a registered builder OR( )theaL~thobzedrepresentative <br />of a registered budder <br />The ¢~ork will be performed by a registered builder <br />Othor_ <br /> <br />BIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />M,I LLN, JAMES <br /> <br />TIME: 15:30:28 <br /> <br />TAX LOT <br /> <br />CONS'I rAUDTION )YPE <br /> <br />CATEGORY <br /> <br /> RESIDENTIAL <br />OCCUPANCY <br /> <br /> 11709 NARBLER LN <br />AURORA <br />USE OF BUILDING <br /> <br />OR 97002 <br /> <br />NE <br /> <br /> CONTRACT CITY 5-N uGB <br />2/ <br /> <br /> NARION COUNTY NO <br /> <br />OGCUPAN~I-(:~D <br /> <br />MAILING AUUf~ESSSINGLE FAMILY D~ELLINGS <br /> <br />SUBDIVISION <br /> <br />CENTURY MEJkDO~S ~4 <br /> <br />PHONE: 678-1255 <br />LOT B~OCK <br /> <br />SECTION <br /> <br />SITE NUMBER.* 6395 <br />~k[~ATION: zoN¢2,430-00 MAP <br /> <br />136 118 <br /> <br />UNITS 88 <br /> SF YES NO ........... <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO. <br />MILLN, JAMES <br /> <br />PEP~IT OR APPLICATION NO: 21162 <br /> ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: 678-t255 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 6 <br />BUILDING STATE SURCHARGE <br />ZONIN6 SURCHARGE <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />OUANTITY <br /> <br />AMOUNT <br /> ~38.50 <br /> 25.03 <br /> 7.68 <br /> 1.99 <br /> $1.93 <br /> <br />¢75.07 <br />75.07 <br /> $0.0O <br /> <br />BALANCE I:X,IE $0.00 <br /> <br />TYPE: CHECK ~: 0 <br /> <br />PAYEE: <br />RECEIVED BY: PR <br /> <br />~ THIS IS A VALID pERMIT <br /> <br />THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE_ IF <br /> <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIRE1VIENTS OF STATE LAWS AND I~IARION COUNTY BUILDINB AND ZONING ORDINANCES, THIS PERfAIT <br />SHALL BECOME NULL AND VOID. <br /> <br />SEmACXS: FR_lO .s_5 Rs_5 RR_C]__ sP <br />REIVLARKS: CARPORT R,2579 <br /> <br /> DONALD E. ~BL~, ~RION ~NTY 8ULLOING OFFICIAL <br /> <br /> ,, .~:: T,, .~. ,,~¢, OFFICE COPY <br /> <br /> <br />