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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 />of a registered builder, <br />The work wiU be performed by a registered builder. <br />Other. <br /> <br />this document, <br /> <br /> DATE: 0.1/21/92 TfME: 13:50=57 <br /> KN,I[(]~H T, J.L. 90080-340 REStDP~ 1'ii <br />i-~[Yt~ ,~b~)R~i ....................................... ~ ~1 ~ T~ ~ ~1'(~/~ ~'P E: OCCUPANCY: I <br /> <br /> L : <br />~ ~40 4TH AVE N ~A~F~%+~ ......... ~--~1 ........ 8~OFA~Y ~bAe: , <br />i ~V[ LLE OR 97325 <br />[ ............................... ~ ..................... : ........... <br />~USE OF BUILDING: <br /> <br />"~AEm~ AdDh~SS~ R~ [~ ~'t Ab -'~-"S~ ~TM R~' ~ ~ ~'~i~[6'~; .... <br /> <br /> ~ B~ 692 .................................... <br /> AU~VtLLE OR 9?325 <br /> ~E: 749-1857 8[TE NU~ER: 92-00413 <br /> VALUAT ~ z $4,608.00 <br />: OT: ~a~; .... ~E~TiON:' ~f6~Ni~:" ; RANGE; ¢ Z6NE: '~ MAP' <br /> <br /> 1 ~ 9 ~ 25 , 8S <br /> <br /> 100[ 100 10000. ! SF NO YES <br /> <br />'TYPE: BUILDING PER/VllT OR APPLiCATiON NO: <br /> <br />C~TRACTOR, NO. 25902 <br /> Nich~-ls C(::~$tpucttm inc <br />12164 W Stayt~:~ Rd <br />Aur~vi]'le, 97325-0000 <br />PHONE: 769-2989 <br /> <br />BUILOiNG F£E <br />PLAN REWiE~ ' <br />BUiLDiNG STATE SURCHARGE <br /> <br />PAYEE: <br />RECEIVED BY~ C] <br /> <br /> 37406 <br /> <br />ARCH}[TECT ENGINEER, NO. <br /> <br /> '' RECEIPTS <br /> '" TH IS .;:REOE[P'r' ] <br /> }:,~,* ::' .BALANCE DUE <br /> TYPE: <br /> <br />QUANTITY ~NT <br /> $50_50 <br /> $32.83 <br /> <br /> $85.86 <br /> $85.86 <br /> $o.oo <br /> <br /> $o.oo <br />CHECK ~; 0 <br /> <br />CONSTRtJC'rIoN CEAS~.~ FOR A PERIOD OF 180;,)DAY~, OR 1F: CONSTRUCTION FAILS TO r4EE'r ALL <br />REQUiREf, IEN'rS OF STATE LA~ AND¢:Iyt&RiON :COUNTY 8UiLDiNB::AND ZONiNG ORDINANCES, TH]S PERMIT <br />~flALL 8EO0~4E NULL AND <br /> <br />SETBACKS: FR 14 L~ 5 RSj20' RR 5 SP <br />REMARKS~ STORAGE/GARAGE ......... <br /> <br />HEIGHT: 12 TOTAL ,~ FT: 578 STORIES: 1 <br /> <br />CONALD E- !,*~tOODLE~, IVlARiON COUNTY BUILDING OFFICIAL / BY <br /> <br />PL~.ACl'ION: <br /> <br />OFFICECOPY <br /> <br /> <br />