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MARION COUNTY BUILDING INSPECTION <br />SENATOR 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 />of a registered builder. <br /> <br />S~GNATURE OF APPLICANT: <br /> DATE: <br /> <br />°w~'E; ~0/04t90 <br /> <br />'f'i~4E: 14.'48;36 ' TAX LOT: <br /> <br />SI~US ADDRE~NDAL,, D.FJ ~ B~,J2 CORSTRUCTION TYPE: <br /> <br />RESIDENI'IAL. <br /> <br />7757 ~'dBF~AN RD <br /> <br /> : CONTRACT CITY: 5.J~B: <br /> <br />9?325 ~ <br /> ]~AR J; ON COIJN'r Y NO <br /> <br />OCCUPANT L~)'1 <br /> <br />MAILING ADDRESS: SUBDIVISION: <br /> RIg~S]rDE~N'f'ZAL ACC~RY S'f'RUOTUR£8 . <br /> <br />510 SN 7'f'H <br />SUIBLiR.f.'ry OR 97:~85 <br />PHONE; 769-5969 <br /> BLOCK: <br /> <br />: TOWNSHI¢i <br /> <br />WIDTH: 2 DEPTH: <br /> <br />AREA: <br /> <br /> 29 UNfTS: 86 ' IRREO LOT; 11~ CORNER; AR <br />1:'~7 AC NO YES <br /> <br />48 <br /> <br />TYPE; 8UiLD~NG PERY4i'[ OR APPLICATION NO: <br /> <br />C~N~'RAC'f'OR, NO, <br />ANDAL, D.F. & <br />510 S~ 7TH <br />SUBLINI'rY OR 97~85 <br />f:>HONE; 769~5969 <br /> <br /> l'rFS~ <br />BUILDIN6 FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE <br />BUILD~NG 8'rA'r£ ~URCHA~E <br />ZONiNG SURCHARGE <br /> <br />ARCHi'rEc'f/ENGINEER. NO. <br /> <br />TOTAL AS~ED PEE.% <br />PREVZOUS RECEIPTS <br />'FH~S RECEIPT <br /> <br />0UAN/II'Y <br /> <br />A~OUNf' <br /> <br /> 28.93 <br /> $3.84 <br /> ¢2.23 <br /> 2_23 <br /> <br />$9.08 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: <br /> <br />* fills IS A VALID PERIVIiT ~< TH,tS P£RNJ'¥' EXPIRE,~ 180 DAYS FROIVl l'f'~ I~E DATE;. ;(F <br />CONfS'[RtJc'rJ, ON CEASE~ FOR A PERZOD OF' !80 DAYS, OR ].F CON~4TRUCTiON ¢;A~I,~ TO ~'lEf~'f' ALL <br />REOUfREMENT5 OF S'IA']'E LA~ AND IViARiON COUNTY BUfLD~NG AND ZONZNG ORDINANCES, 'I'H~.~ PER~iT <br />SHALL BEOOI'4E NULL AND VOID. <br /> <br /> SETBACKS: FR ~ L~ 20 RS 5 RR 5 <br /> RERARKS: DE'rACHEDLocATED 6N'['iRE'LySHOP APPRr. TV'~D'"PORB~HiND RESiOP. flNcEPRI~ATE NONCOg~RCIAL USE ONLY. R1~;2943. *f¢~S'l' 8E~'~'~ <br /> HEiL~'f': TOTAL ~ F'T: 560 STORZ~ <br /> ~NALO 6. ~,,LEY, ~R,ON COUN'IY BU/LDiNG O~F,C,AL / BYoFFiCECOPY ............................. <br />FORM ~ MC 15-~ REV. 4~0 <br /> <br /> <br />