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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 a registered builder OR ( ) the authorizeg representative <br />of a registered builder. <br /> <br /> DATE: 11/10/92 TIME: 12:58:44 <br /> <br /> LIFFLANDER, JOHN & CgROL <br /> <br />SITUS ADDRESS: <br /> <br /> 88.51 SHITB RD <br />AUHSViL[_E <br /> <br />SINGLE FAHILY DWELLINGS <br /> <br />57655-000 RES I DENT I Al,. <br />5-N <br /> <br /> 4 <br /> <br />5290 BALSAM DR S <br />SALEM OR 97502 <br />PHONE: 565-'6418 <br /> <br />WK ~78-5758 <br /> <br />SITE NUMBER: 92-01640 <br />VALUATION: $118,000_00 <br /> <br /> BLOCK; SECTION: TOWNSHIP: RANGE: ZONE: <br /> <br /> 24 8S 2~ SA <br />DEPTH: ARSA; ~,~. ~ U NITS;cA IRREG,NG LOT: :CORNER:NO <br /> <br />51 <br /> <br />TYPE: DWELLING PERHIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />LIFFL, ANDER~ JOHN & CAROL <br />$2~0 BALSAH OR S <br />SALEH OR 97502 WK ~78'-5758 <br />PHONE: 565~6418 <br /> <br /> Il'EM <br />DWELLING BUILDING FEE <br />DWELLING PLUMBING <br />OWELLING MECHANICAL <br />OWELLING ELECTRICAL <br />DWELLING STATE SURCHARGE <br />DWELLING PLAN REVIEW <br />OWELLING ZONING SURCHARGE <br /> <br /> 45265 DP <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL, ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $571,,19 <br /> $208.28 <br /> $5t..89 <br /> $162,,6~ <br /> $49 ,, 7D <br /> $1.85.00 <br /> $1!5.00 <br /> <br />$1 245_70 <br /> <br /> $o_oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: <br />RECEIVE0 BY: PB ............................................. TYPE: CHECK ~: 0 <br /> <br />* THIS IS A VALIO PERMIT. THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DRYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />EOUIRENENTS OF STATE LA~S AND MARION COUNTY BUILOiNG AND ZONING ORDINANCES¢ THIS PERMIT <br /> <br />HEIGHT: SETBACKS; FR 20 <br />TOTAL SQ PT: 5550 LS'~iO <br />STORIES: 2 RS..iO <br />PLAN.ACTION: RR_50 <br />ENERGY PATN: ], ~P ............ <br /> <br />SALL BECOME NULL AND VOID. <br /> <br />REMARKS_' DWELLING (SEPTIC COMPL. <br /> <br />DONALD E. WOODLEY, MARION COWNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, 4/~o <br /> <br /> <br />