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220 HIGH STREET NE ' <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 performing work on a property I own or occupy. <br /> <br />of a registered builder, <br /> <br /> DATE: 07/1'?/90 T/ME: 10;4.1:35 <br />OWNER: <br /> JOHNSON, <br /> <br /> 885 6TH ST <br />AUMSVi LLE OR 9?325 <br /> <br /> TAX CO'f: <br /> 90050-350 <br /> CONSTRUCTION TYPE'. <br /> <br />CONTRACT CITY: UGB: <br />AuI~sV l LLE NO <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD: <br /> <br />MAILING ADDRESS: <br /> <br /> RP.~51DEN'r J;AL ACCESSORY S'f' RUC'f-U~ <br /> <br />BOX ?22 <br />AU~Vj LLE OR <br />~E: 749-1967 : 5~'l'E NU~ER~ 10619 <br /> VA~A'f' ~: $5. 000.00 <br /> <br /> 8 3 25 8S; 2~ <br /> 'DEPTIf: AREA: UNrTS: IRREG. LOT: <br /> 70 96 6650. 6F NO NO <br /> <br />5t <br /> <br />TYPE: BUiLDiNG Pt~,~q[T OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 25902 <br />S'f'EYEN NICHOL <br />12164 ~. S'fAYTON RD <br />AU~V[LLE <br />PHONE: <br /> <br /> ['['EM <br />BUiLDiNG FEE <br />PLAN R6¥1EW <br />FLEET ~URCHARGE -ZONE 3 <br />BUILDING STATE ~¢JRCHARGE <br /> <br />PAYEE t <br />RECEIVgO BY: PB : <br /> <br /> 25476 <br />ARCHiI'ECIr/ENGiNEER, NO. <br /> <br />TOTAL AS~E~ED FE~ <br />PRE~IOtJS RECEIPTS <br />THi~ RECEIPT <br /> <br />qUANTiTY <br /> <br />~50.50 <br />32.83 <br /> 3,84 <br /> 2.53 <br /> <br />$89.70 <br />$89,70 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />TYPE: CHECK <br /> <br />* THIS .l.S A VALID PEF.~iT :* i THiS PP..:Ikl',IIT EXPIRES ~t80 BAY~ FROf4 ['I'S [5.':SUE DA[E. [F <br />CON~'I'RUCI'[ON CEAS~ FOR A PERIOD OF; 180 PAYS. OR IF CONSTRtJc'r[ON FA,ILS TO MEET ALL <br />REQUIREMENTS OF STATE LAN..~ AND f~ARiON COUNTY BU[LD1NG AND ZONING ORDINANCES, '['Hi~ PERIVlII <br />SHALL BECOME NULL AND VOIO. <br /> <br />SE?BACKS= FR 20 LS 5 R'~,,,5 RR...5 SP ................... <br />RE~/IARK~: STORAGE SHED <br /> <br />REIGHf; 13 TOTAL ~ <br /> <br />CYC~NALO E. ~C~30LEY, ~'t~RION f.70UNTY BUILDING OFFICIAL / BY <br /> <br />PLAN. AC'T J, ON: <br /> <br /> OFFICE COPY <br />FORM # MC ~5-~6 REV, 4/90 <br /> <br /> <br />