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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />22b 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 />SIGNATURE OF APPLICANY <br /> DATE <br /> <br /> DALE: 12/18/90 TIME: <br />OWNER <br /> ~Ei~ENH~gS, DORIS <br /> <br />~ITUS ADDRESS <br /> <br />9:07:50 <br /> <br /> 2'~5 EYER6REEN OR <br />AUMSVi LLE OR 97325 <br /> <br />USE OF BUILDING <br /> <br />MAILING ADDRESS RESiDF. N f [AL ACC~RY STRUC"ruRF.:8 <br /> <br />P.O. BOX 157 <br />AUr~SVILLE, OR 9?325 <br />~ONE: 749-1527 <br /> <br />55 115 8325. <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br /> CONTRACT C~TY <br /> <br />AUI~¢VI LLE <br /> <br />5-N <br /> <br />NO <br /> <br />CATEGORY <br /> RESi DENT IAL <br />OCCLJPANSY <br /> <br />OSQUPANT LOAD <br /> <br />SUBDIVISION <br /> <br />SiTE Nur~ER~ <br /> VALUAT iON .+ <br />RANGE <br /> <br /> 11928 <br /> $4,600.00 <br />ZONE MAp <br /> <br /> IRREG LOT CORNER <br />SF NO NO <br /> <br />[YP[: ~UILO[NG PERMIT OR A,PPLICAIION bF.2: <br /> <br />IX.~NFP,/~]IOR, NO. 38238 <br />~NTiN,1 ~-,,~ILE HCME~ <br />11379 MILLCREEK RD ~E <br />~VILLE OR 97325 <br />~E: 759-7744 <br /> <br /> IIEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEEI ~URfJHARf3E -ZONE 3 <br />BUiLDiNG ~FArE ~URCHARGE <br /> <br />PAYEE; <br /> <br /> 29283 <br />ARCHIFEC1/ENEiNEER, NO. <br /> <br />TOTAL ~ED FEES <br />PREVIOUS RECEIPTS <br />THiS RBCEiPT <br /> <br />fjUANI I1Y <br /> <br />AI~L}UNI <br /> 50,50 <br /> 32.83 <br /> <br /> 2.53 <br /> <br />I89.?0 <br /> 89.70 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVgD BY: C"l 1YP~: CHC_.~K ~: <br /> <br />.... I .... ~ .... ii .......... iii ~ ........ <br /> * THIS IS A VALID PERMIT * 1HiS PERMi1 EXPIRES 180 DAYS FROM IfS I~E DATE. tF <br /> CONS['K~JCIION CEASE~ FOR A PERIOD OF 180 ~YS, OR iF ~s'[~crt~ FAI~ 10 NEET ALL <br /> RE~IREN~['~ OF S'FAYE ~ ~D ~ARI~ ~NIY BUiLDiNG ~D Z~ING ORDIN~C~, THiS <br /> ~ALL BEdE NULL ~D VOID. <br /> <br />SEIBACK~: FR 10 <br />RB¢.~R~: CARF~JR'F <br /> <br />LS SEE PLOT RB SEE PLOI RR 10 SP <br /> <br />HEiGHI: 12 IO'IAL ~ Fl: 788 SIORIES: 1 PLAN.ACf'iDf~ A <br />DONALD E+ W,.X)DLEW, MARION COUNTY BUiLDiNG OFFiCiAL / BY ...... ~ <br /> <br />OFFICECOPY <br /> <br /> <br />