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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 />have read and agree to the terms stated On the reverse side of <br /> <br />owN~TE~ 03/28/91 TIME: <br /> <br />S,TUSA~O~Es.~JOGWARD, MICHAEL <br /> <br />9:54:40 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />57810-000 <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />RESI DEN1 IAL <br /> <br /> 1050 N. 4'tH <br />AUMSVi LLE OR 97325 <br /> <br /> CONTRACT CITY <br /> <br />AUFISV i LLE' <br /> <br />NO <br /> <br />M~,IUNr~ ^Dr~R~SS SINGLE FA~ILY t~ELLINGS <br /> <br /> P.O. BOX 287 <br /> AUNSViLLE <br /> PHONE: 749-9404 <br />LOT BLOCK SECTION <br /> <br /> Bile NUf~BER: 12551 <br />~ANg(ALUA'rioN: ZO.E $16,000.0~p <br /> <br />186 600 <br /> <br />SF YES NO <br /> <br />BUILDING PEF~lll OR APPLiCATiON NOs <br /> <br />CONTRACTOR, NO. 69757 <br />SAM I'ECH CONS'IRUC'fION <br />1050 N. 4TH <br />AUhlSVILL[ <br />PHONE: 371-4513 <br /> <br /> iTEM <br />BUILDING FEE <br />PLAN RE¥1E~ <br />BUILDING SfA1E ~¢JRCHARGE <br /> <br />PAYEE~ <br />RECEIVED BY: PR <br /> <br /> 31049 <br />AR(.,,'Hi'fECF/ENG~NEER, NO. <br /> <br />F,~U~TI1Y A~NT <br /> $11~.50 <br /> $75.73 <br /> $5.83 <br /> <br />TOTAL AE~EO FEE~ <br />PRE¥IOUS RECEiPIS <br />THiS RECEiP'r <br /> <br />¢198.06 <br />198.06 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />TYPE: CHECK ~t~. 0 <br /> <br />m IHJS iS A VALID PERI, iT * THIS PERMIT P.~PIRES 180 DAYS FRO~I ils iSSUE DATE. <br />c-oNsmucrioN CEAS~ FOR A PERIOD OF 180 DAY~, OR IF C~NSTRUCTION FAiL~ TO MEEr ALL <br />REQUIREMF..~T~ OF STATE LAIA~ AND ~RiON O0UNTY GUJLDiNG AND ZONING ORDINANCES, THIS <br />,~HALL BECOME NULL AND VOi0. <br /> <br />SEIBACKS: PR 20 IA 5 RS 5 RR 5 SP <br />REMARK.S: LIVING R~,-'KITCHEN ANO'"BDRN ADDITION <br /> <br />HEI(~"II: IOIAL ~ FF: 460 STORi~: 1 <br /> <br />5ALD E. ~OLE~, ~Ri~ ~NTY BUiLOiNG OFFICIAL / BY <br /> <br />FORM # MC 15-56 REV 4/90 OFFICE COPY <br /> <br /> <br />