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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:: 58@-7904 <br /> <br />Othel <br /> <br />OWNfAArE~ 09/19/91 I'iME: 14:06:36 TAX tOT CATEGORY <br /> <br /> BOUGLA,~ <br /> 5?7O6-O00 <br /> RE~i DPJN / <br /> <br /> CONTRACT CITY 5~ OCCUPANT ~..0~'~ <br /> 145 5P~C~ <br /> AU~Vi LLE OR 9?325 <br />U$E OF BUILDING AU~ViLLE NO N0 0F BEDROOMg <br /> <br />MAltING ADL~I~ESS RP_..~IDgNfiAL ACOE~RY StRUCtURES SUBDIVISION <br /> <br />11973 MiLL CREEK RD SE <br />AUt45,VILLE OR 9'/325 <br />PHONE: <br /> <br />O~ 13LOCK SECTION TOWNSHIP <br /> <br />SI "FE NUMBER*. 1401 <br />RAN'LuArI°N: =ONE <br /> <br />wIo r~-i 21 c,~m AREA ~B UNITS 8S IRREG LOT 2~ CORNER <br /> <br /> 58 86 SE . Y~ NO <br /> <br />IYPE: BUiLDiNG PERt~Ii'f' OR APPLICAtiON NO: <br /> <br />CONIRACIOR, NO. <br />QOX, DOUGLAS <br />11373 MiLL CREEK RD ~ <br />AUMSViLLE OR 9'F~25 <br />f.~ONE: <br /> <br /> 35041 <br />ARCHi1ECI/ENGINEER, NO. <br /> <br />PHONE: <br /> <br /> ITEM QUANIlTY AlviC~NT <br />BUiLDiNG FEE $N0.50 <br />PLAN REVIEW $13.33 <br />BUILDING SI'AlE ~RG~ARGE $1.03 <br /> <br />fOFAL A~ES~ED FEES <br />PRE¥IOU$ RE..OEIPTS <br />FHIS RECEIPT <br /> <br />34.88 <br />$0.00 <br /> <br />BALANCE DUE $0,,00 <br /> <br />PAYE~: <br />R~EiVED BY: Btvl2 TYPE: CH2CK ~: 0 <br /> <br />* THiS 15 A VALID PERf4iI * fHi5 PER~411 EXPIRES 180 DAY5 PROf4 ils i~E DALE. <br />CONSfK-'UCFiON C~E~ FOR A PERIOD OF 180 DAYS, OR IF CONSFRUC'fI(AN FAIL,5 FO ~EEI' ALL <br />RE~UIREM~NiS OF SLATE LA~ AND MARION COUNI'Y 8UIgDiNG AND ZONING ORDINANCES, THIS PER¥4if <br />SHALL BCCOME NULL AND VOID_ <br /> <br />SblBACKS: PR 10 L5 10 R5 10 RR lO ~P <br />RPJVtARKS: CARPORT <br /> <br />HEIGHT: 11 TOIAL ~ FT: 312 SJORiES: 1 <br /> <br />L~NALO E. WOODLE¥, I¥,ARION COUN'fY BUILDING OFFICIAL / BY <br /> <br />FO~M ~ MC zf~-~6 REV 4/90 OFFICE COPY <br /> <br /> <br />