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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 performing work on a property I own or occupy. <br />I am a registered builder OR the authorized representative <br />of A registered builder. <br />The work will be performed by a registered builder. <br />Other <br />I have read 8nd 8gree to the terms stated on the reverse side of <br />this document, <br /> <br /> OATE: 00/!5/92 'r ME: 4;ss:49 <br />OWNER'. :tAX Lot; ' OATEGO~Y: <br /> FISHER, RICHARD 57799-014 , <br /> <br />SITUS ADDRESS; OONSTRUCTION TYPE: OCCUPANCY: <br /> 5-N <br /> 470 MiCHAEL NAY <br /> AUMSViLLE <br /> <br />USE OF EU~LDING: <br /> <br />MAILING ADDRESS: <br /> <br />RE~iDENIlAL <br /> <br /> R-3 <br /> .................CONTRACT CITY; 0~'B~ ,OCCUPANT LOAD: <br /> OR 9I'325 <br /> NO <br /> N0 OF BEDROOMS: <br /> <br />SINGLE 4 <br /> SUBDIVISION; <br /> <br /> PO BOX 290 ......................... <br /> AUMSVILLE OR 9?325 <br /> PHONE: 749-2578 SITE NUIV~ER: 92-01915 <br /> VALUATION; $120,000.00 <br />LOT: SLOB~; SECTION: TOWNSHIP: RANGE: ZONE: MAP: <br /> <br /> 2 25 8S . 2N RS <br />WIDTH: ,DE~TN; AREA; ! UNITS: IRREG. LOT: , CORNER: <br /> ?2 150. 10800. . SF NO i NO <br /> <br />51 <br /> <br />TYPE: D~ELL[NG PERMIT OR APPLICATION NO: <br /> <br />~I'RACI'OR. NO. <br />FISHER, RICHARD <br />F"r,J BOX 290 <br />AUMSViLLE OR 9?325 <br />PHONE: ?49-2576 <br /> <br /> I'FF_~I <br />D~ELLiNG BUILDING FEE <br />DHELLiNG PLUIVlBiNG <br />DNELLING MECHANICAL <br />E~ELLING ELECTRICAL <br />DNELLING STATE SURCHARGE <br />ONELLING PLAN REVIEW <br /> <br /> 40093 DP <br />ARCHiTEC'f/~GiNEER, NO+ <br /> <br />PHONE~ <br /> <br />TOTAL A,,~/.~EDFEE$ <br />PRE¥IOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AIvlOUN'I' <br /> $437.64 <br /> $159.58 <br /> <br /> $124.61 <br /> $38.08 <br /> $185.o0 <br /> <br />984.6? <br />984.87 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: <br />RECEIVED BY: PB TYPE: G~ECK ~: 0 <br /> <br />$ THiS IS A, VALiD PEA14IT * THiS PER'lIT PD(PIRE$ 180 DAYS FRDM iTS i~E DATE, iF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DA~, OR IF ~s'r~o'rl~ FAILS TO NEET ALL <br />RE~IREMENI'S OF STATE L~ AND ~Ri~ ~NTY BUiLDiNG ~D Z~ING OROJN~C~, THiS PE~i'f' <br />~ALL BEG~E NULL ~D VOID. <br /> <br /> ENERGY PAI'H: 1 <br /> <br /> SETBACKS: FR 20 LS 8 RS 8 RR 8 SP <br /> REI'4ARK~: DWEELiNG .................. <br /> <br /> HEiGHI': 26 TOTAL SQ FT: 2?20 S'fGRJ~'A: 2 <br /> <br /> DONASD E. ~N~DODLEY, MARION ~N'rY BUILDING OFFiCiAL / BY <br /> <br />~o.M ~ ~c ~.~.~. ~o OFFICE COPY <br /> <br />PLAN.ACTION: <br /> <br /> <br />