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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 /> I am performing work on a property I own or occupy. <br /> <br /> The work will be periormed by 8 registered builder. <br /> <br />DATE: 01/29/92 'fiNE;. 13:00:59 <br />AU~Vi LIE OR 9?325 <br /> <br /> : CATEGORY: <br />57706-000 RESi DEN'I IAI <br /> <br /> OCCUPANCY: <br /> <br />MAILING A~DR~SS: <br /> <br />RES ~ orE. N'F IAL. ACC~RY STRUCTURES <br /> <br /> EVERGREEN ¢4OBILE ES'T'AiES <br /> <br />PB r,i~4 E: <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br />19 <br /> <br /> 55 100i <br /> <br /> SITE NU~'~3ER: 92-00455 <br /> VALUA'T'ION: <br /> : ~0WNSN~P: RANGE: ; ZONE: MAP: <br /> <br />25 8S ' 2W <br /> <br /> SF : YE5 NO <br /> <br />'f'YPS: BUILDING PER~l'r OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 38298 <br />g~niel L Capver <br />11373 Mi"I"i Cme~k Rd <br />Aurr~vi'l']e, 97325-0000 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN RE¥1EN <br />BUILDING SLATE ~JRCHARGE <br /> <br /> 38025 <br />ARCHITECT/ENGiNEER, NO. <br /> <br />Qt. IAN'i'IT'Y AIr)GUN'[ <br /> $44.50 <br /> $2B+93 <br /> $2.23 <br /> <br />TOTAL A,S.~E~EOF~F..;S $?5.66 <br />PREVIOUS RECEIPTS $?5.66 <br />THIS RECEIPT $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: <br />RECEIVED BY: ~ ~'¥PE: <br /> <br /> THIS IS A VALID PERf4IT· 'tHIS PEF~'4JT EXPiRE%:,lS0~A.,Y~..FRC~ ITS IS,~E DATE iP' <br />C~STRUCTION CF~ES FOR A PERIOD OF 188 DAYS:, OR,~F:f.~STRtJc'riON FALLS TO ~EE'I' ALL <br />REQtJiREJ~ENTS OF SI'A'I'E LA~ AND IVlARiO~N~NTYBUibOJN6 AND ZONING ORDIN/NNCES, THiS PERMIT <br />~HALL 8EC~E NULL AN0 VOID, <br /> <br />SETBACKS: FR 10 LS 10 RS 10 RR 10 SP <br />REf'4ARKS: CAR~OR'f ................... <br /> <br />HEiGHI': '11 TOTAL ~ Fl': 312 $'i'ORi~: 1 <br /> <br />DONALD E. NOOOLEY, NARION COONFY BUILOING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MG 1 §,~ REV, 4/5'{) <br /> <br /> <br />