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MARION COUNTY BUILDING INSPECTION <br />SENATQR 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 />f am gerformirlg work on a property I own or ooougy. <br />tamaregisteredbullderOFf( ) the authorized representative <br />of a registered builder, <br />The work wi0 be performed by a registered builder. <br />Other_ <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br />SIONATMRE OF APPLICANT'. <br /> <br /> 06/23/92 'FINE.* 14: 53 .* 04 %k Lbtl CATEGORY: <br /> NENELL PETER ?0480-020 RESiDENI'iAL <br /> <br />AU~V~ LL~ OR 9?325 <br /> <br />'MAILING ADDRESS: SiNGL'E FAMILY B~ELL_ING'S <br /> <br /> 4?66 HOmE, CE C'F <br /> ~LEN, OR 97301 378-~945 <br /> ~6: 362~7243 si'rE NU~ER~ 92-01465 <br /> VALUATi~: $132,000.00 <br /> <br /> 5.03 AC NO ! NO <br /> <br />3 <br /> <br />TYPE.+ DNELLING PEF~4i'F OR APPLICATIQN NOt <br /> <br />CON'I'RACI'OR NO. <br />NE"NELL PE'T'~R <br />4786 HORSESHOE CT <br />SALEf4, OR 9'1201 378-3945 ~¢ORK <br />PHONE: 3~3-7~43 <br /> <br /> l 'T F. DvI <br />Bg,/ELLING BUiLDiNG FEE <br />DINELLiNG PLUf'48 iN~ <br />DNELLING MECHANICAL <br />D'.'.'.'.'.'.'.'.'~¢ E L L I N G ELECTRICAL <br />O~ELLiNG STATE ~A,)RCHARGE <br />D~ELLiNG PLAN RE¥IEW <br />Dg,/ELLIN6 ZONING SURCHARGE <br /> <br />PAYEE: <br /> <br /> 40155 DP <br />ARChiTECT/ENGINEER, NO. <br /> <br />TOTAL ~ED FEES <br />PREVIOUS RECEIPTS <br />'I'HZ8 RECEIPT <br /> <br />OUAN'I' l TY <br /> <br />AMOUNI' <br /> $417.05 <br /> $152.07 <br /> $3'7.89 <br /> $118.75 <br /> $36.29 <br /> $185.00 <br /> $15.00 <br /> <br />~982.05 <br />962,05 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVED BY: CL 'TYPE= CHECK ~: 0 <br /> <br />~ THiS iS A VALID PERMIT ~ '¥'H~S PER~IiI' EXPIRES 180 DAYS FROM ITS ~2"""""""""""""""""SUE DATE. IF <br />CONSTROCTiON CEASE~ FOR A PERIO0 OF 180 DAYS, OR iF CONSTRUCTION FAILS 'FO MEET ALL <br />REQUIREMENTS OF STATE LA~5 AND MARION COUNTY BMiLDING AND ZONING ORDINANCES, THIS PEFC4iT <br />SHALL BECOME N~LL AND VOID. <br /> <br />ENERGY PA'TH: <br /> <br />SE'f'~ACKS: FR 20 LS 100 ~ 10 RR 30 <br />REMARKS; SFO'"'- SEE SEP'TiO PERMIT DATED <br /> <br />HE~GH'F= 18 TOTAL SQ F'f'= 2592 STORIES: 1 <br /> <br />PLAN~AC'I'ION; ~2 <br /> <br /> <br />