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220 HIGH STREET NE <br />- SALEM, OREGON 9'7301 <br /> <br /> PHONE; 588-5147 8:00 - 4;30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />fh~s document <br /> <br />SIGNATURE OF APPLICANT <br /> CATE <br /> <br />OWNER TAX LOT CATEGORY <br /> DALE; 12/26/90 'f' IME: 9:43:02 <br />SITUS ^DDnESl~ALLACE' j llVl CONSTRUCTION TYPE OCCUPANCY <br /> <br />RESiDENIIAL <br /> <br /> CONTRACT CITY <br /> <br /> 305 MAIN Sr -- <br />u ssA~¢4~,'~ ~ IBB_E OR 9?325 <br />Aur4~vI LLE <br /> <br />R~ID~N[IIAL ACCE,~5ORY STRUCTURES <br /> <br /> P.O. BOX 1071 <br /> AUM~ViLLE, OR 9?325 <br />LOI PHONE: <br /> <br />5-8 9 <br /> <br />~00'" 218 <br /> <br /> UGB <br />5.--N <br /> <br />I OCCUPANT LOAD <br /> <br />NO 01' BEDROOMS <br /> <br /> 25 <br /> <br />21600. <br /> <br />85 <br /> <br /> MERRiFiFLD5 ADDi TiON <br /> <br /> NUMBER+' ZONE t18~:~ ~,.,. <br />-~ALUA r iON: $8,3oo. o0 - <br /> <br /> C <br /> <br />SF NO ~0 <br /> <br />f'YPE: BUiLOiNG PER,lIT OR APPLICATION NO: <br /> <br />CONIRACIOR, NO_ 53100 <br />DOUG PRUEI'1 <br />12023 W. STAYTON RD SE <br />AUt45VlLLE, OR 9?325 <br />PHONE: 769-?523 <br /> <br />BUILDING FEE <br />PLAN RE¥1EN <br />PLEE'I ~AJRCHARGE -ZONE 3 <br />BUILDING SrAfE SURCHARGE <br /> <br />PAYEE: <br />RECEiVbD MY: CL <br /> <br /> 29058 <br />ARCHi~ECI/ENG~NEER. NO. <br /> <br />TOTAL A~SES,SED FEES <br />PRE¥iOUS RECEIPTS <br /> <br />QuANrlIY <br /> <br />AMOUN 1 <br /> <br /> 48.43 <br /> $~.84 <br /> <br />$130.50 <br />130,50 <br /> $o.oo <br /> <br />BALANCE [.VdE $0.00 <br /> <br />IYPE: OH'CCK ~: 0 <br /> <br />* ]Hi5 iS A VALiD PER~Ii1 * THIS PERMIT PSXPIRES 180 OAY~ PROf4 lis i~E DALE. iF <br />CONS[RtJCfloN C~EA~,,.,.ES FOR A PERIOD OF 180 DAY~, OR i~ CONS[RUC"rlON PALLS fO MEET ALL <br />R£f.~JiREMEN]S DP STA~'E LAI,~ AND MARION COUNI'Y BUILDING AND ZONING ORDINANCES, ]HIS PEN'~qI~ <br />~ALL BEC'ONE NULL AND VOID+ <br /> <br />SEiBACK~: PR ~ ~ / R~ / RR / SP <br />R~RY-~: GARAGE-Sf'ORAGE <br /> <br />HEIGHI: 14 101AL ~ F'f: 1680 S~ORIEB; 1 <br /> <br />DONALD E. VCOODLE¥, MARION COUNTY 8UlLOiNG OFPICiAL / BY <br /> <br /> <br />