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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 H~GH 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 />DATE <br /> <br />14;23;25 <br /> <br />TAX LOT CATgGORY <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br />R,~S I DbN 1 1 AL <br /> <br /> CONTRACT CITY 5'ET~ ;OCCUPANT LO~,? <br /> 210 EVER~CREEN DR -- 1 <br /> AUIvFsv i LLE OR 9?325 <br />I1~ OF ~UII,OINO AU~VILLE NO NO O~ <br /> <br />MAII.~NG ADDRESS RE~iDENflAL ACCE~RY 5FRUCfURES SUBDIVISION <br /> <br /> EVERGREEN i~H E~TAlES <br /> 11373 MILL DR <br /> AUN~Vi <br /> ~; 7~9-'f'F44 S~l~ NUmaR: 130B7 <br /> <br /> BLOCK s~cr~o~ ~O~NNS~P ~A~LUA f' iON: zo~ $2,0OO- O~A~ <br /> <br />DEPTH AREA UNITS IRREG LOT CORNER <br /> NO NO ..... <br /> <br />~YPE: BUILDING PER~llf OR APPLICAFiON NO: <br /> <br />5ANf [A¢4 rqOB'l"LN HONtE.~ <br />1 I~!,¢ NIILL,(..;REEK RD <br />AUI',4~V l LLE OR 9?325 <br />PHONE; <br /> <br /> 3~141 <br />ARC~iIECI/gNGiNEER, NO_ <br /> <br />PHONE: <br /> <br />iFEM QUANYiIY AMOUNI <br />BtJiLDiNG FEE ~32_50 <br />PLAN REVIEW ~1 13 <br />BUILDING 51A1E ::~)RCHARGE $1.63 <br /> <br />fOFAL A,SS~ED FEES <br />PREVIOUS RECBIPIS <br />'f'Hl5 RECEIPT <br /> <br />~55.26 <br /> $o. 00 <br /> <br />BALANCE DUE $0,00 <br /> <br />PAYEE- <br />RECEIVED BY: cl ~YPE; CHECK ~: 0 <br /> <br />· ]1'115 15 A VALID PER~if * THiS PERMi1 ~XPIRES 180 DAY5 PROf4 iTS ISSU~ DA~E, IF <br />C;ONSIRUCflON CEASES FOR A PERIOD OF 180 DAYS, OR IF OONSIRUCFION FALLS ]0 MI;ET ALL <br />R~QUiREMEN~S O~ SIAIE LANS AND FC~RION COUN'~Y BUILDING AND ZONING ORDINANCES, ]HIS PbRMi¥ <br />~,JaALL B~(~E NULL AND VOID. <br /> <br />3>EIBACK,5: PR 10 L5 10 R5 lO RR 10 5P <br />RPjVlARKS: GARAGE --"NAINI-AIN 6Fr."BEfWEE~'r~,/)31LE HOME AND ANY ACCESSORY BUiLD]N(~.S <br /> <br />Ht-:I(~HT: 10 lO]AL 5Q PT: 390 SIORiES: 1 PL <br /> <br />OFFICE COPY <br /> <br /> <br />