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MARION COUNTY BUILDING INSPECTION <br />~. SENATOR BLDG. NO. 255 <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 brogerty I own or occupy, <br />[ Am a registered builder OR ( the authorized representative <br />efa registered builder. <br />The work will be performed by a registered builder. <br />Other <br /> <br /> OWN6~ I E. , BS/1-1./92 lIME, ~,11.,.' 24.-:-52 ................ F i'X~'LS¥ .............. ;' <br /> <br /> o ' BR [ ~, C~ARL~ ~ : RESt DEN I <br />l'~i~U~' ADOn~SS~ ~ CONSTRUCTION TY~E'. ~ OCCUPANCY: <br /> <br /> 14717 ALBE~ NAY ~ , ~ $~O~ANT LO&D: <br /> ~RA OR 9?002 <br /> ~ A~R~RA ; L NO: <br /> o~ <br /> <br /> 10155 S. ~C~BU~ <br /> ~E: 266-213g ~ SITE NU~ER: 92-0~074 <br /> <br /> ) ~ ~ , ] ZONe'. <br /> , ~ , .. i ~ . , . <br />~i5¢~' 2 ~8~ q ~Z; ............... -1 ~--- ~-~FT~; ............ R-~ 3 <br /> <br />TYPE: DNELLINB PEf,~ll'f' OR APPLICATION NO: <br /> <br />405?0 DP <br /> <br />CON'fRACI'OR, NO. <br />O'BRiEN, CHARLES <br />10155 S. IvACK~:~URG <br />O"HONE: 266-2139 <br /> <br />ARCHiTECT/ENGiNEER, NO. <br />D'HONE: <br /> <br /> iTEM <br />D~'VELLIN6 PLUNBiNG <br />DWELLING ELECTRICAL <br />DWELLING STATE ,!~JRO~ARGE <br /> <br /> C¢)UANTITY Ar4OUN'T' <br /> $126.55 <br /> $98.82 <br /> $11.27 <br /> <br /> $o.oo <br /> $236.84 <br /> <br /> $o.oo <br /> <br /> 42600 <br />iN ~ECK ~: <br /> <br />'f'OTAL'A,.~ED FEE~ <br />PREWiOU5 RECEIPTS <br />THiS RECEIPT <br /> <br />BALANCE CUE <br /> <br />PAYEE: O'BRiE~, CHARLES <br />RECEIVED BY; CL 'TYPE: <br /> <br /> THiS kS A VALID PERMIT ~ THiS. PEE3'4IT E~PiRE~ 180 DAYS FROf4 iTS I~E DATE. iF <br />CONS'rRuc'f'[CH ¢~F_'8 FOR ~ PERIOD OF 180 DAY~, OR IF ~ST~C'Fi~ FAi~ TO MEET ALL <br />R~ZR~NEN'f'S OF ~'f'A'FE LA~ AND ~R~ ~NT'Y ~UILDING ,~D'Z~ING ORDiN~C~, THIS <br />DALL 8EC~E NULL ~D VOID. <br /> <br />ENERGY PATH: 1 <br /> <br />SETBACKS: FR L$ RS RR SP <br />REMARKS: D, NEBEING - E£EC?PL.BG ............................... <br /> <br />DONALD E. [.'¢3ODLEW, N'tARJON COUNTY BU2_O[NG OFF[OtAL/ BY <br /> <br />FORM # MC 15-56 REV, 4~J0 OFFICE COPY <br /> <br /> <br />