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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 will be performed by A rogistorod budder <br />Other, <br /> <br />OAf E: 04/10/92 rtr4E: 16..25:4! <br /> 5UT!ER, RALPH <br /> <br /> 500 DIlCHA~L WAY <br />AUMSVILLE OR 9'/325 <br /> <br />USE OF BUILDING <br /> <br />MAILING ADDRESS <br /> <br />P O BOX 12533 <br />SALEM, OR 9'/309 <br />[,-THONg: <br /> <br />LOI BLOCK SECTION TOWNSHIP <br />25 <br />WlO f'H DEPTH AREA UNITS <br /> 72 150 10800. <br /> <br />DATE <br /> <br />TAX LOT <br /> 57799-004 <br />GONSTRUDTION TYRE <br /> 5~ <br /> <br />AUMSVi LLE NO <br /> <br />SUBDIVISION <br /> <br />CATEGORY <br /> RESi DEN ¥ i AL <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF B£OROOMS <br /> <br />PARCEL ,~ 1 OF P~RI ~92-'f5 <br /> <br /> 5IlE NUMBER.* 92-00987 <br /> VALUAriON: $60,000.00 <br /> RANGE ZONE MAP <br /> <br />85 2W RS <br /> IRREG LOT CORNER <br />SF NO NO <br /> <br />TYP~: DWELLING PENlVlll OR APPLiCAIlON NOt <br /> <br />CONTRACTOR, NO. 43505 <br />Ratph L 5ut~er <br />F-'O Box 12533 <br />5a'lem, 9?309-0000 <br />PHONE: 588~2373 <br /> <br />iTEM <br />LA4ELLiNG BUiLDiNG FEE <br />DWELLING PLUMBING <br />O~LLiNG MECHANICAL <br />ONELLtNG ~LCC1R1CAL <br />OHELLING S'f'A'fE ,"SURCHARGE <br />DWELLING PLAN REVI~W <br /> <br />PAYE~; <br /> <br /> 37750 DP <br />ARCHItECT/ENGiNEER, NO. <br /> <br />PHONE: <br /> <br />tOtAL ASS~SSEO Fg~ <br />PREVIOUS RECEIPTS <br />THiS RECEIPT <br /> <br />QUANTiIY <br /> <br />A~OUN'I <br /> <br /> 10~.'/8 <br /> $26.60 <br /> <br /> SqBb.00 <br /> <br />$?'20.08 <br />$720-08 <br /> $o.oo <br /> <br />BALANCE DUE $0,,00 <br /> <br /> ~E_I:;IVED BY: CL IYPE: CHECK ~: 0 <br /> <br />'~ ]Hi5 t5 A VALID P~-Rf4II ,¢ THiS P~NMi~ EXPIRES 180 DAY'~ PROM lis iSSU~ OAIb. iP <br />C~NSfRUCf'JON CE~ES FOR A PERIOD OF 180 DAYS, OR IF C~NSI'~C[ION PALL5 fO MEEI ALL <br />REQUiREmENTS OF S'~ATE LAWS AND ~RION C~N~Y BUiLO~NG AND ZONING ORDINANCES, THiS PERmiT <br />5HALL B~O~E NULL ~D VOID. <br /> <br />gNERGY PAIH: <br />~ETBACKS, FR L~..~O RS RR.-.5 ~P..5 <br />REIV~ARKS: NEW RES " <br /> <br />HEiGHI: 1OlAL 50 Fl: 1820 51ORIES: t <br /> <br />DONALD E. WOODLEY, MARION COUNTy BUILDING OFFICIAL / BY <br /> OFFICE COPY <br /> <br /> <br />