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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 />Othor__ <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />OWNER <br /> DA l ~": 08/17/91 <br /> <br />flUE: 14:41:50 <br /> <br />TAX LOT CA1E~ORY <br />CONSTRUCTION TYPE OCCUPANCY <br /> <br />RESi O~N fiAL <br /> <br /> ?02? SHE~ RD SE <br />USE .SW~'~C'JC~},-E OR 97325 <br /> <br />SINGLE PAJ~IILY D~ELLIN~ <br /> <br /> CONTRACT CITY 5~G~ I OCCUPANT LO~ <br /> <br /> NO OF BEDROOMS <br />MARION COUN1Y NO <br /> <br />SUBDIVISION <br /> <br /> PHONE: ?49-2287 <br />i BT SLOCK SECTION TOWNSHIP <br /> <br /> SiIE NUIVIBER: 13136 <br />RAN~ALUAFION: ZONE $14,,630_0~p <br /> <br />10. AC ........ NO <br /> <br />EFU 48 <br /> <br />fYP~; BUILDING <br /> <br />CON FRAC I OR, NO. <br />(~APP, SlEVE <br />s,ac,aE <br /> <br />PHONE: 749-2287 <br /> <br />PERMIT OR APPLICATION NO: 32638 <br /> ARCHitECT/ENGINEER, NO. <br /> <br />BUILDING FEE <br />PLAN REVI~ <br />BUILDING STATE ~¢JRCHARGE <br />ZONING ~RCHARGE <br /> <br />PAYE~: <br />R~CEIVED BY; Of 42 <br /> <br />PHON g: <br /> <br />QIL,I~J'411'fy AJVKJUNT <br /> <br /> $71.83 <br /> ~5.53 <br /> 5.53 <br /> <br />TOIAL A~E~EG PEES <br />PRE¥IOU8 RECEiP IS <br />rEIS RECEiP~ <br /> <br />$193.39 <br />$193.39 <br /> $0.00 <br /> <br />BALANCE BCE $0.00 <br /> <br />1YP~: CHECK ~: 0 <br /> <br />* fHi5 IS A VALID PEk'~I1 * IH~S PERf~II EXPIRES 180 DAY3 FRO~ lis ISSUE DATE. IF <br />CONSfRUC'IION CEASEZ% FOR A PERtOO O? 18~ BAYS, OR iF ,,OONS'rRUCF~.O~,, FAIL8 ro ~EE[ ALL <br />R~QUIRB~ENfS DP SfA'l~ LAW~ AND MAR~ON COUNTY BUiLDIN8 AND ZONING ORDINANCES, THIS P~Rtqll <br />SHALL BECE,~E NULL AND VOID. <br /> <br />SEiBACKS: PR 20 LS 10 RS 10 RR 100 SP <br />RENARKS: FAMILY R~ AODIT'iO~ & ROOF CHANGE'"R~'6836 <br /> <br />HEIGH'I: IOIAL 5O PT: 418 S~ORIES; 2 <br /> <br />~ALD E. WOOOLEY, NARiON COtJNTY BUILDING OFFICIAL / BY <br /> <br />PLAN.AOIION: L <br /> <br /> <br />