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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 />DALE: 06/27/91 1i~: 8:0S:~S <br /> <br /> NELLMAN, R~kRI <br /> <br /> 13294 [3AIOUIRI L,AKb L)R NE <br />AURORA OR 97002 <br /> <br /> DATE <br /> <br />~AR ION COUN f Y <br /> <br />NO <br /> <br />CATEGORY <br /> RESI L)EN ! ,~ ;~, l. <br /> <br /> RESI DEN l IAL ACCE~RY S IRUC[URES <br /> <br />5AM~ <br /> <br />?r'K,}N b; U713- 1~539 <br /> <br /> 12_ 1 <br /> <br /> bO 1 O0 ~O00, SP <br /> <br />LAKEI~OOD ESIAIE5 ~4 <br /> <br />51TP NUMBER: 13205 <br />VALUA I' iON; $6,240. <br /> <br /> R~ <br /> <br /> NO NO <br /> <br />5 <br /> <br />fYPE: ~UILDtNG PER~II OR APPLICAflON NO; 32778 <br /> <br />,JON T RAC lOR, NO. <br />WELLP4AN ,. ROBER f <br /> <br />~K~DH i ~ EC I/ENGINEER, NO_ <br /> <br />¢4MONE: 5'f 8,.-lr539 PHONE.+ <br /> <br />BUiLDiNG FEE <br />PLAN REVIEW <br />8UiLDiNG SIAIE 5LiRCHARG~ <br />Z~ING SURCHARGE <br /> <br />QUAN l I 1Y <br /> <br />AMOUNf <br /> $62.50 <br /> <br /> $3,13 <br /> <br />IO'IAL A.SsE~gO FEE~ <br />PRB¥IOU8 REC5IPIS <br />7HI5 R~BiP1 <br /> <br />$f09.39 <br />$~09 ¢9 <br /> $0,00 <br /> <br />BALANCE DUE $0 . 0(] <br /> <br /> F>AY[::,~ <br /> RECEIVED BY: PB f'YP~: CHgCK ~: O <br /> <br />· ¢ INI5 i5 A VALID P~R~iI ~ THiS PE~i] E~PIRES 180 ~Y~ PROM ils I~UE UAI~. IP <br />,;ONSI~(;fION C~SES FOR A PERIOD OF' 180 DAYS, OR iF CONSfRUC'YiON PAILS fO MEEf ALL / I <br />REUUIREMENIS OF SfA]'~ LA~ AND ~R~ON C~N'IY BUiLBiNG ~D ZONING ORDINANCES, 1HLB PERMiI ~ ~1 <br />>H L_l_ BEC~E NULL ANO VOiO. <br /> <br />%EIBACKS: PR * L5 A R5 4 RR 4 5P <br />RL~MARKS~ ~IOP ~LDG'APPRO~ED POR PRIVATE N~ERCIAL US~ ONLY, ~US[ BE LOCATED ~N~ I~g/ Y <br /> ~HJND RE~i DENCE R~EA 9~ <br /> fGfAL 5~ FI: 520 SfORiES: 1 P~N-ACFION: <br /> <br /> g- ~)ODLEY, MARION COUNIY BUILDING OPPiCIAL / BY ~ <br />Q(.)NALD <br /> <br />I~ORM # MC 15-56 REV 4/90 , OFFICE COPY <br /> <br /> <br />