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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO, 225 ~- <br /> 220 HIGH STREET I~E <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a registered builder OR ( ) the authorized replesentative <br /> <br />The work will be performed by ~t registered builder. <br />Other <br /> <br />SIGNATURE OF APPLICANT; <br /> OATE: <br /> <br /> DATE: 05/18/90 l'I~4E: 15:05:37 <br />OWNSR: <br /> <br /> LE~MONS, <br />SITUS ADDRESS: <br /> <br /> 12335 ~PLE L~F C'f' NE <br /> AU~ OR 9?002 <br /> <br />USE OF BUILDING: <br /> <br />, CONSTRUCTION TYPE: <br /> 5-N <br />i CoNYI~ACT CITY: UGS: <br /> <br />i,lYiAIR.ION ,.COUNTY ~, NO <br /> <br />CATEGORY: <br /> RES i OEN'I' ~, AL <br />OCCUPANCY: <br /> <br /> R-3 <br />OCCUPANT LOAD: <br /> <br />MAILING ADSRESS: SINGLE FAMILY OWEt. LtNGS <br /> <br /> SAME <br /> <br /> PHONE: 6?8-2623 <br /> <br /> SI'TE NUC4B6R: <br /> VALUAT iON: <br />SECT~ON~ ! TGWN~HI~ RANGE; <br /> <br />AREA: ~ UNITS; IRREG. LOT: <br /> <br />SUBDIVISION: <br /> <br /> Ib%S <br /> $3,000 .oo <br /> ZONE: MAP: <br /> <br /> EFU <br /> C0~NER: <br /> NO <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO. <br />LFJ~IMONS, GORf~ON <br />SAME <br /> <br />PHONE: r578-2623 <br /> <br />PERNi'I' OR APPLICATION NO." 23979 <br /> ARCHITECT/ENGiNEER, NO. <br /> <br /> 1 'f' P. jVl <br />BU J, LOiNG FEE <br />PLAN <br />FLEET ,~J RCHARG E <br />BUILDING S'rA'fE SURCHARGE <br />ZONING ~JRCHARGE <br /> <br />PHONE.~ <br /> <br />QUANI' ! TY <br /> <br />AMOUN1 <br /> $38-50 <br /> $25.03 <br /> $7.68 <br /> ~1.93 <br /> 1.93 <br /> <br />TOTAL ASSESSED FEES $~F5 .o'? <br />PREVIOUS RECEi PTS $ F~. 07 <br />'tHiS R~EtP'r $0.00 <br /> <br />BA~CE ~E $0.00 <br /> <br />PAYEE: <br /> <br />~ I'HIS IS A VALID PER~i'I' * THIS PER~iT EX~IRES 180 DAYS FRO~ ITS i~E DATE. <br />CONSTRUCTioN CEAS~ FOR A RERiODOF 180.DAYS, OR iF CONSTRUCTION FAILS 'to MEE'f ALL <br />REQUiREMENf'~ OF' STATE LAWSANB ~RION ¢.,'OJN'I'Y BUILDING AND ZONING ORDINANCES. THiS PERf~iI <br />SHALL BECOME NULL AND VOID. <br /> <br />5E'f'BACK~: FR LS RS RR SP <br />REMARKS: ENC~OS'I~G PO~""-"R~20'~8 ............................................... <br /> <br />H~iGHJ: TOT'AL 5Q FT: 144 ~TORiES: 1 <br /> <br />DONALD E. ~OOOLEY, ~ARioN G~OUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICECOPY <br /> <br /> <br />