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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 />OATh <br /> <br /> UAfE: 06/18/91 fiNEr <br />OWNER <br /> <br /> KAUF~AN, ~ERI <br />51TU~ ADDR£:SS <br /> <br />16:53;47 <br /> <br /> 250 EVEF.~GREEN DR <br />AUt4SVlLLE OR 97325 <br /> <br /> TAX LOT CATEGORY <br /> RES 1 DEN f I ~L, <br /> <br /> 5-N <br /> <br />AUIYC3V i LLE NO <br /> <br />NO OF BEDROOMS <br /> <br />RESI OlEN f IAL ACCE~RY 5 FRUCFURES SUBDIglSlON <br /> <br />EVERGREEN MH E~IAIE5 <br /> <br /> PHONE: '/69--?744 <br />LOT SLOCK S~OTION TOWNSHIP <br /> 5 25 <br /> 55 89 <br /> <br /> sire NUIVlSER: <br /> VALUA f ION: <br /> <br />85 2W <br /> IRREG LOT <br /> YES <br /> <br /> 13069 <br /> $2,000.00 <br />ZONE MAP <br /> <br />CORNER <br /> <br /> NO <br /> <br />IYPE: BUILDING PE~II OR APPLICATION NO: <br /> <br />CONIRAC]OR, NO. 38238 <br />SAN¥i~¢,I NIOBiLE <br />11373 MiLLCREEK RD SE <br />AUfcCSVILLE OR 9?325 <br />PHONE: '769-?744 <br /> <br />BUiLDiNG FEE <br />PLAN REVIEW <br />BUILDING 51ALE ~¢JRCHARGE <br /> <br /> 32966 <br />ARC~IIECI/ENGiNEER, NO. <br /> <br />OUAN111Y <br /> <br />PAYEE: <br />REC~IVbD BY:: CL <br /> <br />tOTAL A,~:S~ED FEES <br />PREV~0US RECEIPTS <br />THiS RECEiPt <br /> <br />AMOUNi <br /> $32.50 <br /> $2~,13 <br /> <br />$55.26 <br /> <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />I'YPE: CHECK ~: 0 <br /> <br />* fH[5 i5 A VALID PERMll * IHIS PERMIT E,~PIR~ 189 DAYS FRO61 i15 I~E DALE. <br />C~JN~FRUCIION C~F_~ FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCFiON FAILS TO MEEF AL[_ <br />REQUiREM~NIS OF STAi~ LAW~5 AND NARiON COUNFY BUILDING AND ZONING ORDINANCES, IHi5 <br />~HALL ~ECOCq~ NULL AND VOID. <br /> <br />S~IBACKS: PR 10 LS 10 ~ 10 RR t0 <br />Rb~ARKS: GAf-d~GE ...... <br /> <br />H~[GHJt TO1AL ~ Fl: 390 SIORIES: <br /> <br />~3NALU E. ~LX]DLEY, F~tARiON CO~Nf'y BUILDING OFFICIAL. / BY <br /> <br />PLAN.ACtION: <br /> <br />FORM # MC 15-56 ?lEV 4/90 OFFICE COPY <br /> <br /> <br />