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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 />The work will be performed by a registered builder, <br />Other_ <br /> <br />DATE: 10/17/91 'fiNE.' 10:30:37 <br /> SAN'¥'iAM HOMES <br /> <br /> 24O EVERGREEN OR <br />AU~VI LLE OR 97325 <br /> <br />USE OF BUiLDiNG: <br /> <br />MAILING ADDRESS: <br /> <br /> TAX LOT; CAT~GORY: <br /> 57706-000 R~S[ D~N'/,(AL_ <br /> <br /> ; CONSTRUCT ON TYRE: i OCCUPANCY: <br /> ! 5-N <br /> ;' CONTRACT CITY[ UGB'. i OCCUPANT CC)AD: <br /> iAUI~SV 1 LLE . NO <br /> <br />R~IDEN'FIAL ACC~RY STRUCTURES <br /> <br /> EVERGREEN ¢4OSiLE HOC4E PARK <br /> <br />LOT: 8LOCK; <br />4 <br /> <br />TYPE: BUILDING <br /> <br />CONI'RAC'I'OR, NO. <br />SAN'FIAtfl HOMES <br /> <br /> SI'rE NUNSER: 1275? <br /> VALUAT i QN: $3 ,. 120.00 <br /> <br /> SECTION: i TOWNSM IR: ; RANGE: , /ON E: MAP: <br /> 25 8~ 2W <br /> <br /> UNITS: SF : <br /> ~EA: : i~EG LOT: YES: <br /> <br />PE~ir OR APPLICA'Fi~ NO: 36090 <br /> <br />ARCHITECT/E~GINEER, NO. <br /> <br />PHONE: <br /> <br />PHONE= <br /> <br /> i[EM QUANTITY AMOUNI' <br />BUILDING FEE <br />PLAN R~¥1E~ $28.93 <br />8UIL. OiNG SIIIAIIE SURCHAF'~GE $2,23 <br /> <br /> TOTAL ASS~ED FEES <br /> PREVIOUS RECEIPTS <br /> THiS RECEJ PT <br /> ~ BALANCE DUE <br />PAYEE: <br />RECEIVED BY: OM2 .......................... TYPE.* CHECK <br /> <br />$75.66 <br />$75,60 <br /> $0.00 <br /> <br />$0,00 <br /> <br />* tHIS iS A VALID PER~4i'I?~ TH-IS, PERf4{l':E)(PiRES..180 DAYS FROM ITS I.S~E DATE. IF <br />CONSTRUCTION creAsEs FOR A PERIOD OF 180 DAYS,:OR {F :CONSTRUCTION FAILS 'ro NEET <br />REQUiREI'4ENTS OF STATE LAN80RBINANCES, '1'HTS PERMI1 <br />SHALL :SECOf4E NULL AND VOID. <br /> <br />SETBACKS: FR 10 LS 10 RS 10 RR 10 SP <br />REr,~RKS: CARf,,-%)R'f ...................... <br /> <br />HEIST: 11 TOTAL SQ Fl': 312 SI'ORi~: 1 <br /> <br />LTJNALO E. ~'~OODLEY, MARION CO~N'TY BUILDING OFFiOIAL / BY <br /> <br />PLAN.ACI'iON: <br /> <br />FORM # MC 15,58 REV. 4/90 OFFICE COPY <br /> <br /> <br />