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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 /> <br /> Other_ <br /> <br /> this document, <br /> DATE: 06/18/92 'FINE: 15:10:00 <br /> <br />: ....... ~ ~CCUCANCY: <br />SITUS ADCRESS; CONSTRUCTION TYPE; 5~ , <br /> 775 O~E~ <br /> ~VlLLE OR 97325 CONTRACT C TY; { UGS: JOCCUPANT ~OAD; <br /> ~ViLLE ~ ~ <br />~ ~iNGLE ~ILY ~ELLIN~ <br />IMAIglNGADDRES8: PANEL ~1 PART. <br /> <br /> ~LE~ OR 9730~ [ ............................................................. <br /> ~E: 378-0067 SiTE NU~ER: 92-02170 <br /> ~ VALUA'rI~ ~ $68,960.00 <br /> <br /> 80[DEPTH; l~0JAREA: ~800+ UNIT~; ~F :IRREG. LOT; NO ~CORNE~O <br /> <br />TYPE: D~ELL[NG PERMIT OR APPLICATION NO: <br /> <br />40502 OP <br /> <br />CONTRACTOR, NO. 6975'1 <br /> ~arr~cech Cc~st <br />41827 <br /> <br />~E: ~69-7459 <br /> <br />ARCHITECT/~GINEER, NO. <br />PHONE~ <br /> <br /> i'r~ <br />[~HELLiNG BUiLDiNG FEE <br />b~ELLiNG PLUMBING <br />D~ELLiNG MECHANICAL <br />DHELLING ELECTRiCAL <br />D~ELLiNG STATE ~URCHARGE <br />DWELLING PLAN R~WI~ <br /> <br />QUiT iI'Y <br /> <br />Arc~UNT <br /> $290+42 <br /> $1o5.~o <br /> ~26.38 <br /> 82.69 <br /> $25.27 <br /> $185.00 <br /> <br />TOTAb AE~ED FEF_,S' <br />PREV'iOUS."RECEiPTS <br />-THiS.:RECEIPT <br /> <br />115.66 <br /> $o.oo <br /> <br />BALANCE ~JE $0,00 <br /> <br /> PAYEE: <br /> R~CEIVEO BY: ~ TYPE: ~ECK ~: 0 <br /> <br /> THIS iS A VALID PE~iT.* ]THIS PE~IT ~PIR~'180 DAYS FRO~ ITS iSSUE DATE. IF <br />CONS'F~CTION CEA~ FOR A~PERiOO O~..180 DAYS, OR iF ODN~T~C'[I~ FAIL~ 'rD ~EE'I' ALL <br />RE~IREMEN'F~ OF SLATE ~ ~D ~Ri~ ~NTY BUILDING ~D Z~iNG ORDIN~C~, THiS PE~IT <br />~ALL BEdE NULL ~O VOID. <br /> <br />ENERGY PATH: 1 <br /> <br />SETBACKS: FR 20 LS 5 RE, 5 RR 7 SP <br />REMARKS: NEW'RES ............ <br /> <br />HEiG%tl': 'i'Ol'Ab ' ~Q Fl': 1805 STORIES,- 1 <br /> <br />gX~,~AL~) E. WX3ODL~, MAR~CH COUNTY BUILDING OFFICIAL / BY <br /> <br />FORM # MC 15-56 REV. 4/90 <br /> <br />OFFICE COPY <br /> <br /> <br />