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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 performing work on 8 property I own or occupy. <br />lam aregistered builder OR( ) tho authorized representative <br />of a registeredo~ buitder, <br />The work will be performed by a registered builder. <br />Other. <br /> <br /> I have read and aOreo ~o ~ho terms stated on the reverse side of <br /> th~s document. <br /> <br /> OATE: 09/09/92 TIME: 16:01:55 <br />OWNER: <br /> RAUSCHER, NORMAN & CAROL <br /> <br /> 11481 8TEINKAMP RD SE <br />AUMSVILLE OR 97525 <br /> <br />SIGNATURE OF APPLICANT' <br /> DATE <br /> <br /> TAX LOT <br /> 71050-130 <br /> <br />CATEGORY~ <br /> RESIDENTIAL <br /> <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD; <br /> <br />SINGLE FAMILY DWELLINGS <br /> <br />~O5 W. REGIS ST <br />STAYTON OR 97383 <br />PHONE~ ?69-2092 <br /> <br />WK~378-8486 <br /> <br />SITTER HILLS ~2 <br /> <br /> SITE NUMBER: 92-02755 <br /> VALUAT I ON: $105,000.00 <br /> <br />LOT: <br /> 8 <br />,wi~i,~, <br /> <br /> BLOCK: S~CTION: ToWNsHIP: <br /> 2 29 8S <br />$01 :D~'THi; 727; 2.1,8827. ;UNIT~;F <br /> <br />iN AR 48 <br />NO NO <br /> <br />TYPE: DWELLING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 02145 <br />Eddie L Wilson <br />4077 State St <br />Salem, 97501~s486 <br />PHONE: 599-1154 <br /> <br />ITEM <br />DWELLING BUILDING FEE <br />DWELLING PLUMBING <br />DWELLING MECHANICAL <br />DWELLING ELECTRICAL <br />DWELLING STATE SURCHARGE <br />DWELLING PLAN REVIEW <br />DWELLING ZONING SURCHARGE <br /> <br />PAYEE: <br /> <br /> 41505 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 /> $432.01 <br /> $157.53 <br /> $59.25 <br /> $12~.01 <br /> $57.59 <br /> $185.00 <br /> $15.00 <br /> <br />$989.39 <br />$989.39 <br /> $0.00 <br /> <br />BALANCE DUE $0,00 <br /> <br /> RECEIVED BY: CR TYPE: CHECK It,: 0 <br /> <br />* THIS IS A VALID PERMIT. THIS PERMIT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO HEET ALL <br />EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />GALL BECOHE NULL AMD VOID. <br /> HEIGHT: 17 SETBACKS: FR 20 <br /> TOTAL SQ FT: 2685 LB"'10 <br /> STORIES: I RS-10 <br /> PLAN.ACTION: RR-50 <br /> ENERGY PATH: 1 <br /> <br /> DONALD E. W00DLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> , OFFICE COPY <br />FORM # MC 15.56 REV. 4/90 <br /> <br /> <br />