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MARION L;~UIN ~ ~ DU~,-,..,, <br /> SENATOR BLDG. NO 225 <br /> 220 HIGH STREET <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 588-5147 8:00 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a reglsfered buNder, <br />The work will be performed by a registered builder <br />Other_ <br /> <br />~ ORYD~. DAVID ~ 1AX bOf' OATEGORY <br />~ AU~ OR 9700~ / <br /> <br />SINGLE FAMILY <br /> <br />50 400 24000. <br /> <br />SI IE NUt,18ER: 13603 <br />VALUA1 iON: $45,000.00 <br />~AkGE ZBNE .......... i'MAP ....... <br /> <br />IRREG LOT ~ ~ORNER <br /> NO . NO <br /> <br />TYPE: BUILDING <br /> <br />CONIRACfOR, NO. <br />DRYDFJ~, DAVID <br /> <br />PER, ii OR APPL1CAfION ND: <br /> <br /> 33842 <br />ARCHifECf/gNGiNEER, NO. <br /> <br />PHON~: 6?8-2560 <br /> <br /> i[EM <br />BUILDING PE~ <br />PLAN REVIEW <br />BUILDING SfA'~E ~Jk~CHARGE <br />ZONING SURCHARGE <br /> <br />QUANl I1Y <br /> <br />TOTAL ABSE,%~ED FEE~ <br />PREVICUS RECEIPTS <br />THiS RECEIPT <br /> <br />$250.b0 <br />$169.23 <br /> <br /> $13.03 <br /> <br />~455.89 <br />455.89 <br /> $o_0o <br /> <br />BALANCE OOE <br /> <br />RECEIVED BY: , ]YPE: (cHECK ~: <br /> <br />* 7HiS IS A VALID PERDlil * THIS PER~iT ~PIR~ 180 DAyS FR(A~I l~ 15,~JE DATE, <br /> <br /> ~JNST~CTi~ CEA~gS FOR A PERIOD OF 180 DAYS, OR IF ~ONST~Cri~ FALLS TO MEEt ALL <br /> RE~iRE~ENiS OF ~TAIE ~ ~D~RION COUNTY BUiLDiNG ~D ZONINB ORDINANCES, ~H15 PERI3 <br /> ~ALL BECOME NULL ~D VOID. <br /> <br /> SETBACKS: PR / ~ 6 ~ 6 RR 30 SP . <br /> RSJ~AR~: ADDING 3 ~EDRc.,2(TF~, 1 BATH , [I~I~G ~, OFFiC~ & ~EWiNG ~ ~7984 <br />5HEI~fzr"~' IOIAL~FTtllB~Sf~Ri~:2PL~.ACTi~: <br />  LO E. ~OL~Y, ~RI~ ~NTY BUiLDiNG OFFICIAL / BY <br /> <br /> ,~v ./~ OFFICE COPY <br /> <br /> <br />