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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOC, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: $88-7904 <br /> <br />I have read and agree to the temls staled On the reverse side of <br /> <br />OWNER: <br /> DATE: 06/14/90 <br /> <br />TIME: 14:41~10 <br /> <br />SITUS AOBRES:.:.:.:.:.:.:.:.:,.,.~4J'I"f'ER' RALPH <br /> <br />TAX LOT: <br /> <br />CONSTRUCTION TYPE: <br /> <br />OCCUPANCY: <br /> <br />R~iDENTIAL <br /> <br /> 855 CLEVEL/~D S¥ <br />u sCMtv~'~.&l~E O~'" 9?325 <br /> <br />SINGLE FAMILY D~ELLIN~S <br /> <br /> P.O. BOX 12533 <br /> ~¢.L~M,OR 97309 <br /> PHON , <br />LOT: CC : <br /> <br /> CONTRACT CLTY: <br /> <br />AUMSViLLE <br /> <br />1 <br /> <br /> , uu <br /> <br /> OCOURA T <br /> <br />NO <br /> <br />~MSVILLE ~EAO0~ <br /> <br />,SiIE NU~ER; 1023] <br /> RA~LUA'rlON:ZONE:$32,82'l.O~A~: <br /> <br />UNITS: 8~ iRnEG LOT: <br /> <br /> CORNER: <br />2W R~ 51 <br /> <br /> NO NO <br /> <br />'rYPE~ BUILDING <br /> <br />CX3NTRACTOR, NO. <br />SUTTER, RALPH <br />P.O. BOX 12533 <br />SALF3'4,OR 97309 <br />PHONE: 588-2373 <br /> <br />PE~i'r OR APPLICATION NOg 24242 <br /> ARCHiTECT/ENGiNEER, NO. <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET ,SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHAReE <br /> <br />PAYEE: <br />RECEIVED BY: <br /> <br />TOTAL AE~EDFElii~ <br />PREViCKJ$ RECEIPTS <br />THiS R~EIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $206.50 <br /> 134.23 <br /> $3.84 <br /> $10.33 <br /> <br />~54.90 <br /> SmOO <br /> <br />BALANCE OUE $0~00 <br /> <br />........................... ~. ................................. TYPE: (;.'HECK ~: 0 <br /> <br />* THIS IS A VALID PERMIT · THiS PERI,lIT EXPIRE5 180 DAYS FROFI ITS iS.~E D, AI'E. 1F <br />CONSTRUCTiON CEASES FOR A PERIOO:,OF.,i180 BAYS, OR IF Cf.,',',',',',',~ISTRUCTION FAILS TO REE'r ALL <br />REQUIREMENTS OF' STATE LAWES ,Nt4D:I~a. RIONCOUNTY BUiLOiNG ,/~0 ZONING ORDINANCES, THIS PERMIT <br />SHALL B~E NULL AND VOiD+ ., <br /> <br /> SET'BACKS: FR 20 LS 5 RS..,,8 RR,..5 SP <br /> R~J~AR~: NEW '" RE.S ............ <br /> <br /> HEIGH'I: 14 TOTAL ~ FT: 1325 STORIES: 1 <br /> <br /> 0ONALO E. [dOODLE-Y, MARION COUNTY BUiLDiNG OFFiCiAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-58 REV. 4/90 <br /> <br />PLAN+ACTION: <br /> <br /> <br />