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~BUILDING INSPECTION <br /> SE~N~AT,,O,~,BLDG 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:: 588-7904 <br /> <br />I am perforr'ning work 0D a property I owr~ or 0ceupy <br /> <br />have read and aSr0e to the terms stated on the reverse side of <br />this d0cumerW <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />12/20/90 <br />~LLAOE, <br /> <br /> 305 MAIN <br /> AUM~,V i L~-E <br /> <br />USE OF BUILDING <br /> <br />AUIc~V i LLE <br /> <br />5.4'4 <br /> UGB <br /> <br />NO <br /> <br />RES I Off. N 1 i A~ <br /> <br />MAILING ADDRESS RESIDC"'NTIAL AOC~RY ,~TRUCTUR~ <br /> <br />MERRiFIELD~ ADDITION <br /> <br /> P.O. BOX 10'11 <br /> AUMSVILLE, OR 97325 <br /> Fl-lONE; 749~248? SITE NUfCBER: <br /> VALUAT I0N: <br />LO"~ ~LOCK SECTION TOWNeHIP RANGE <br /> <br /> 100 216 21600. SF NO NO <br /> <br />11833 <br />$8,300.00 <br /> <br />C <br /> <br />BUILDING PE~iIr OR APPLICATION NO: <br /> <br />CONTRAC1OR, NO, 53100 <br />DOUG PRUETF <br />12023 W* SItAyION RD ~E <br />AUf~JVILLE. OR 97325 <br />PHONE: ?59-7823 <br /> <br />DUI LDZNG FEB <br />PL.aJ~ Rkn/l E~ <br />BUlL-DINa ~fA'fE E4JRO14ARrSE <br /> <br /> 29058 <br />ARCHiTECI/ENGiNECR, NO. <br /> <br />TOTAL A~,%!~E~EO <br />PREVIOUS RECEIPTS <br />tHIS RECEIPT <br /> <br />Af,,IOUN'I <br /> $74.5~ <br /> 48.43 <br /> <br />126.66 <br />$o.oo <br /> <br />BALANCE BUE $0.00 <br /> <br />PAYEE: <br />RECEIVED BY: PR IIYPE: CHECK ~: 0 <br /> <br />· THIS iS A VALID PERffilT ~ THiS PERf411 EXPiR~¢.~ 180 DAYf¢ FRC~ ll~ ISx~,UE DATE. IF <br />CONBFRUCFION CEASE~ FOR A PERIOD OF 180 DAY3, OR tF CONSTRUCtioN FAIL~ TO ~E6I~II ALL <br />REQUiRE~N]S OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES. rHl5 PER~iI <br />.~¢4ALL BE(A]C4E NULL AND VOID. <br /> <br />SEiBAOKS: FR / LS / <br />~ii,/ RR.i/ SP <br />REMARF.;,.',~ GARaGE-STORAGE <br /> <br />H~IEE~"Ilt 14 TO1AL ~ Flt 1680 3TORIE~: 1 <br /> <br />~ALO E. ~OLE~, ~Ri~ ~NTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />