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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 performinfi wOrk Ofl a property I own or occupy. <br /> <br />DAf'E: 12//8/91 TIME: <br /> BROWN, ViCKiE <br /> <br /> 345 EVERGREEN OR <br />AUMSV.[ LLE OR 9'7325 <br /> <br />U,%E OF BUILDING: <br />MAILING ADDRFSS: <br /> <br />RESIDEN'f'IAL ACCESSORY STRUCTURES <br /> <br />DATE: <br /> <br /> TAX LOT: 57706--000 <br /> CONSTRUCTION TYPE: <br /> <br />OON~RACT CITY: UGB: <br />AU~VI LLE NO <br /> <br />CA FEGORYJ <br /> RES i DEN T' 1A L <br /> <br />OCCUPANCY: <br /> M-1 <br /> <br />OCCUPANT LOAO: <br /> <br />EVERGREEN F1OBiLE PARK <br /> <br /> PHONE: SiTE NUMBER: ]4706 <br /> VALUA'f'tON: $3.120.00 <br /> <br />LOT: BLOCK SECTION: TOWNSHIP~ RANGE: ZONB: MAP: <br /> 25 8S 2N RM <br />WIDTH. 55 DEPTtI: ] ] 2 AREA: i UNITS~ ~p IRFIEG LOT: YES: CORNE~o <br /> <br />IYPE: BDiLDiNG PERMIT OR APPLiCA'f'iOf'4 NO: <br /> <br />CON I'RAC I'OR, NO_ 38238 <br />f2~nffe'l L Capvep <br />11373 Mill Cr-mek Rd <br />Aumsvl 'l 'lc, 97325~0000 <br />PHONE: <br /> <br /> 37426 <br />ARCHiTECT/ENGiNEER. NO. <br /> <br /> lf'E~ OUANTIf'Y ,a,JvKJUN'I <br />8t,Jt[.D1NG F'"E:t~ ~44-50 <br />PLAN REVIEW $28.93 <br />BUILDING STATE SURCHARGE $2.23 <br /> <br />PAYEE: <br /> <br />TOTAL ~EO FE~ <br />PREVIOUS RECEIPTS <br />THIS RECEIP'f' <br /> <br />$?5.66 <br />$75.66 <br /> $0_ oo <br /> <br />BALANCE DUE <br /> <br /> RECEiVEB BY: r..~12 'TYPE; CHECK ~: 0 <br /> <br />~ THiS IS A VALID PER. il' * THiS PER~41'f' EXPIRES 180 DAYS TROT4 i'T~ I~E DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS. OR IF CON~'TRUC'I'iON FAILS 'FO MEET ALL <br />REQUIREMENTS OF ~f'ATE LA~ AND MARION COtJN'I'Y BUILDING AND ZONING ORDINANCES. THIS PEk'I~11'f' <br />SHALL BECOME NULL AND VO[D. <br /> <br />~E'I'BACKS: P'R 10 LS 10 ~ 10 RR 10 SP <br />REMARk: CAR~)R'F ....................... <br /> <br />HEIGHT; 11 TOI'AL SQ P'T: 312 SI'ORiEl: I <br /> <br />DONALD E- VC.X~DLEY, MARION COUNTY BUiLDiNG OFFiCiAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />