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MARION COUNTY BUILDING INSPECTION SENATOR BLDG, NO, 22.5 220 HiGH STREET NE SALEM, OREGON 97301 PHONE: 588-5147 8:00 - 4:30 24 HOUR CODE-A-PHONE: 588-7904 of a registered builder. The work will be performed by a registered builder, Other this document, DATE: 10/09/92 TIME: I KLEIN, ROGER i 75290090 I RESIDENTIAL Ads~sl , CONST~UCT~O~ TV~e: ,, OCCUPANCY: : 5-N ', 9~34 FRIENDLY ACRES RD SE .~'~ ~k ~d~m~: ................. ~ ..................... ~ .......... ~ SINGLE FAMILY DWELLINGS ~ WALDO HILLS FRUit FARM SAME ~ SITE NUMBER: PHONE; 585-7460 ~ V~LU~TION: $~800.00 ~ : !lOT: ~ BLOCK; F~fi6E~ [r6W~Ri~i ~ ZG~E~ ~MAP: i AR5 ~ ' J J ~. ~ ~C } NO j NO ; L ........................ J ........................... L ................................... [ ~ TYPE= BUILDING CONTRACTOR, NO. 58891 MARK ETTEL CONSTRUCTION P 0 BOX 288 AUMSVILLE~ e7325-0000 PHONE: 58B~9505 PERMIT OR APPLICATION NO: 42759 ARCHITECT/ENGINEER, ROi ITEM BUILDING FEE PLAN REVIEW BUILDING STATE SURCHARGE ZONING SURCHARGE PAYEE: PHONE:: TO~ ,S: FEES : ' :'PRE::V O~JS' RECEIP:TSi THIS RECEIPT,: :' OUE ' : QUANTITY AMOUNT $80.50 $52.$$ $4.03 $4.o~ $140.89 $140,89 $0.00 $0.00 RECEIVED BY: DM2 ....... ~.-.m:~:~.~-.:-...:,-m..~'~:.-,.. ........... TYPE: CHECK ~: 0 · * THIS iS A VALID PERMITJ lBO OAYS FROM ITS ISSUE DATE. IF CONSTRUCTION CEASES FOR A:PERIO0 OF 1BO BAYS, OR' IF COMSTRUCTIOM FAILS TO MEET ALL EOUIREMEHTS OF ·STATE LA#S..AND M~RION cOUNTY BUII..BIN6 =:AND ZONING OROINANCES, THIS PERMIT SALL BECOME NULL AND VOID,, ; : SETBACKS: FR 0 280 LS-iO ENERGY PATH: 1 1 R$~lO RR~30 ENERGY pATH:~'..1, SP .... REHARKS: ADO OF DEN ~,,~ OONALO E. WOOOLEY, MARION COUNTY BUILDING OFFICIAL / ~ ............... OFFICE COPY