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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: 888-7904 <br /> <br /> I 8m performing work On a property I own or occupy. <br /> I am a registered builder OR ( ) the authorized representative S GNATURE Of APPLICANT'. <br /> of a registered builder, <br /> The work will be performed by a regisfered builder. <br /> Other <br /> I have read and agree to the terms stated on the reverse side of DATE: <br /> <br /> DATE: 04/13/92 'r IrClE.* <br /> ................. : YAk [0T; ............ <br />OWNER: MATTHEW R~ERI' ~ CA~LYN Pi~U'~'i ' 70380~110 RESIDENI'IA( <br /> <br />; ]0792 A~OT RD NE <br /> AURORA OR 97002 co~r~Ac~ CITY; i UGB; OCCUPANT LOAD; <br /> <br /> , ~ARi~ C~NTY ~ NO <br /> <br /> ~iNGLE F'A~JLY ~ELL[N~% 3: <br /> <br /> ~ONE: 8?8-5638 Sil'~ NU~ER: 92-01~15 <br /> VALUAT ~ON; $40,000.0O <br /> <br />:WIDYH: DEPTH; AREA: I + 'UNITE: AC I~REG, LOT: <br /> <br /> TYPE: BUiLDINB PE~iT OR APPLiCATiON NO: 38923 <br /> <br /> CONT'~CTOR, NO. A~I'r~C'F/~GJN~R, NO. <br /> ~I'I'HCN ~gR'~' & CA~LYN PIX <br /> 'S~E <br /> <br />PHONE: 6?8-5838 PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLA~ REVIEW <br />BUILDING ST'ATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />OUAN'T'iI'Y <br /> <br />AMOUNT <br />$238.00 <br />$154.?0 <br /> <br /> $11.90 <br /> <br /> TOTAL A~E~EO <br /> PRE¥iOUS RECEIPTS $416.50 <br /> THIS RECEIP'¥' $0.00 <br /> <br /> ~ALANCE DUE $0.00 <br /> <br /> RECEIVED BY: IVFB '':"-'~:'---':'::-'=:---'~ ................................... TYPE: CH~ :K ~: 0 <br />* THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FRO~ iTS i~E DATE. iF <br />CONSTRUCTION CEAS~ FOR A PERIOD OF 180 DAYS, OR iF CONSTRUCI~ON FAILS TO MEET ALL <br />RFc,,)U~REMEN']'S OF STATE LA~',5 AND MARION COUNI'Y BU~LD~NG AND ZONING ORDINANCES, THiS PERMI'I <br />SHALL DECO!VIE NULL ANO VOID. <br /> <br />ENERGY PATH: 1 <br /> <br />~E'fBACK~: FR * L~ 10 RS ~ RR $ SP <br />REMARKS; 8U AO0 FARILY AN~ MASTER BEOROOR'"'STILL SAME I'OTAL OF BEORMS ~NO CHANGE <br /> <br />HEIGHT: 23 'f'O'FAL SO. F'I': 1400 STORIES: 2 PLAN.AC'F~ON: <br /> <br />~'¢~ALO E. NOODLEY, MARION COUNTY BUILDING OFFiCiAL / BY <br /> <br />OFFICE COPY <br /> <br /> <br />