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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 - <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I 8m performing work on a property I own or occupy. <br />t:sm a registered buDder OR { ) the authorized representative <br />of a registered ,builder. <br />'fbe work will bu performed by a registered builder, <br />Other. <br /> <br /> DATE: 11/12/92 TIME: <br />OWNER; <br /> DORAN, ]'OM <br /> <br /> 540 5TH ST <br />AUHSVILLE <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> : CONS~ROCTION TYPE: <br />9R 97525 AUMSVILLE ~ NO <br /> <br />CATEGORY: <br /> RESIDENTIAL. <br />OCCUPANCY; <br /> <br />OCCUPANT LOAO~ <br /> <br />SINGLE FAHILY DWELLINGS <br /> <br /> PARTITION PLAT 92'~79 <br />PO BOX 185 <br />SUSLIHITY, OR 97585 SITE NUMBER: 92-0~974 <br />PHONE: 769-7564 VALUATION: $40,000.00 <br /> <br /> ~ SS 2~ RS <br /> 85 87 YES ; NO <br /> <br />TYPE: DWELLING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />Tom L Dor~n <br />Po Box 185 <br />Subliai~y. 97585-0000 <br />PHONE: 769-7564 <br /> <br />ITEM <br />DWELLING BUILDING FEE <br />DWELLING PLUHBIN6 <br />DWELLING MECHANICAL <br />OWELLING ELECTRICAL <br />OWELLING STATE SURCHARGE <br />OWELLING PLAN REVIEW <br /> <br />PAYEE: <br /> <br /> 41953 DP <br />ARCHITECT/ENGINEER, NO. <br /> <br />PNONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />TNIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNI <br /> $215.67 <br /> $77_91 <br /> $19_41 <br /> $60.84 <br /> $I8..59 <br /> SZgE.OD <br /> <br />$575_42 <br />$575.42 <br /> $D.O0 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVED BY: PB TYPE: CHECK ~: 0 <br /> <br />· THIS IS A VALID PERMIT. THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOO OF 180 DAYS, OR IF CONSTRUCTION FALLS TO MEET ALL <br />EQUIREHENTS OF STATE LAWS AND MARION COUNTY 8UILOIN6 AND ZONING OROINANCES, THIS PERMIT <br />SALL BECOME NULL AND VOID. <br /> <br />SEPTIC: 8Y ............................... DATE <br /> <br />HEIGHT: SETBACKS: FR....20 <br />TOTAL SQ ET: 1328 LS S <br />STORIES: I RS""~5 <br />PLAN.ACTION~ RR....].I <br />ENERGY PATR: ~ SP .......... <br /> <br />REMARKS: NEW RESIOENCE <br /> <br />DONAI_D E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> ,, OFFICE COPY <br />FORM # MC 15,56 REV. 4/90 <br /> <br /> <br />