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MARION COUNTY BUILDING INSPECTION <br />SENATOR 8LDG, NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97S01 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Am a registered builder OR ( ) the authorized representative <br />Other <br /> <br />SIGNATURE OF APPL CANT <br /> <br /> DATE: 09/02/92 TIME: li:2~:49 <br />OWNER: TAX LOT <br /> YAFAKOS~ KAREN P <br /> <br /> 11005 JAMES WAY -- CONTRACT CITY; UGB <br /> AUMSVILLE OR 97525 MARION COUNTY NO <br /> <br />RESIDENT[AL ACCESSORY STRUCTURES <br /> <br />PHONE: <br /> <br />CAMELLIA..~g~8~TS 55 <br /> <br /> SITE NUflBER: <br /> VALUATION: <br /> <br />11 3 <br /> <br /> NO <br /> <br />CATEGORY <br /> <br /> RESIDENTIAL <br />OCCL ~ANC¥ <br /> <br />OCCURANT LOAD <br /> <br />92-02990 <br /> $6,200.00 <br /> <br />RA 48 <br />CORNER: <br />NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION <br /> <br />CONTRACTOR, NO. 26905 <br /> 3~ckman Construction Inc <br />5575 Radell Dr SE <br />Salem, 97~02-0000 <br />PHONE: 364-6520z,~-~ <br /> <br /> ITEM <br /> BUILDING FEE <br /> PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br /> 41995 <br />AROHITECT/ENBINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $62.50 <br /> $40.63 <br /> $5.15 <br /> <br />$109.39 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: <br /> RECEIVEO BY: OR ........ ~'~_____~___ TYPE: CHECK ~: 0 <br /> <br />* THIS IS A VALID PERHZT. THiS PERHiT EXPIRE~ 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR iF CONSTRUCTION FAIL~ TO MEET ALL <br />EQUIREMENTS OF STATE LA#S AND MARION COUNTY BUILD,NC AND ZONING ORDINANCES, THIS PERMIT <br /> <br />HEIGHT: <br />TOTAL SQ FT: <br />STORIES: <br />PLAN.ACTiON: <br />ENERGY PATH: <br /> <br />· SALL BECOHE NULL AND VOID. <br /> <br />REMARKS: GARAGE <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br />DORM # MC 1 $-56 REV, <br /> <br />816 <br /> <br />SETBACKS: FR 20 <br /> LS-iO <br /> RS-O <br /> RR-30 <br /> spZo <br /> <br /> <br />