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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 />DALE: 10/30/91 lIME: 8:24:48 <br /> JURASEK, ALAN <br /> <br /> 2t5 PAffON RD S <br />UEIR-'OI1 OR 9?342 <br /> <br />USE O¢ BJ 0NG <br /> <br />SIGNATURE O¢ APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> 90220-650 <br /> <br />CONSTRUCTION TYPE <br /> 5-N <br />CONTRACT CITY UGB <br />DE'f ROI1 NO <br /> <br />CATEGORY <br /> RESI DEN I IAL <br /> <br />SFRUCf'UR~.OrHER THAN BUiLDIN~ <br /> <br />1327 SE 1YgfH <br />PORTLAND OR 97233 <br />PHONE: 761-7027 <br /> <br />SUBDIVISION <br /> <br />12 6 01 10 <br /> 55 1~0 7700. <br /> <br /> ~[1'E NUIVlBER: 14544 <br /> VALUATION: $126+00 <br />RANGE ZONE MAP <br /> <br /> 5E F(~ <br /> <br /> NO NO <br /> <br /> [YPE: BUILDIN6 PEIq2411 OR APPLICATION NO.+ <br /> <br />~ON 1 RAg I OR ,. NO. <br />JURAf~FK ,. ALAN <br />1327 ~E 179fH <br />~Rf~D OR 97233 <br />PH~6: 'f61-7027 PH~E: <br /> <br />BUILDING FEE <br /> P~ R~I gw <br />~UILD1NG STALE ~A~E <br /> <br /> PRE~OUS R~BJP~S <br /> IHIS RECEiP r <br /> <br /> BAL~CE ~E <br /> <br /> 36064 <br />ARCHIIEC1/ENGINEER, NO, <br /> <br />QUANTifY Aff~UNI <br /> $10,00 <br /> ~6.50 <br /> 0.50 <br /> <br />¢17.00 <br /> 17_00 <br /> $0.00 <br /> <br />$0-00 <br /> <br /> RECeIVeD BY: PB lYRE: CHECK ~: O <br /> <br />* THiS I9 A VALID P~RMII ~ 1HiS PER, Il EXPIRES 180 DAYS PRO~ i'l~ iSSUE DALE. iF <br />CONSTRLICFION CEA~B~ FOR A PERIOD OF 180 DAYS, DR iF CONS[RUCTiON FAILS 'to NEET ALL <br />REr-JUIR£MENI'~ OF S1AI~ LAV¢~5 AND I~ARIGN COUN1Y BUILDING AND ZONIN8 ORDINANCe. l'H15 PERNiI <br />~rlALL BECOME NULL ANO VOID. <br /> <br />SEIBACK$: PR 20 LS 5 R"5 5 RR 5 SP ...... <br />REJAARKS: DECR AffACRED <br /> <br />HEiC.';Hf: iO'IAL ~ Fl: 0 S1ORiES: <br /> <br />OONALO ~. ~YJDLg¥, MARION G~JNFY BUILDING OFF~OIAL / ~Y <br /> <br />OFFICE COPY <br /> <br /> <br />