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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 />Other <br /> <br />SIGNATURE OF APFLIOANT~ <br /> <br />8h~: 09/10/92 <br />OALKE, ORE6 <br /> <br />TIME." 1~:i1."24 <br /> <br /> CONSTRUCTION TYRE' <br /> <br />: <br /> <br />UGB; <br /> <br />OOCUPASCY[ <br /> <br />o~E~DE 6blk~ A L <br /> <br /> 710 NIOHAEL WAY <br />MAILING Aoo~sHSVILLE OR 97525 ,~k E NO <br /> <br />SINGLE FAMILY DWELLINGS <br /> <br />LOT; <br /> <br />WIDTH; <br /> <br /> PARCEL <br />5805 <br />SALEM-1]I~ ' 97;301 ' TOWNSHIP: S~:NUHBER-' 92--O~570ZONE: <br />PHONE: 588-6977 VALUAT I0,~ [ $87,0~Q.00 <br /> DEPTH AR6~; , UNITS: iRREG. LOT: CORNER: <br /> <br /> 25 <br /> <br />80 170 <br /> <br />85 2W RS <br />SF YES NO <br /> <br />TYPE: DWELLING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 62267, <br />6reg OalKe Pacific Razn Const <br />5805 H~cle~y Rd SE <br />S~lem, 97301 <br />PHONE: 588-6977 <br /> <br /> ITEM <br />DWELLING BUILDING FEE <br />DWELLING PLUMBING <br />DWELLING MECHANICAL <br />DWELLING ELECTRICAL <br />DWELLING STATE SURCHARGE <br />OWELLING PLAN REVIEW <br /> <br /> 41240 DP <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY AMOUNT <br /> $388.41 <br /> <br /> $55.29 <br /> $110.60 <br /> $$3.80 <br /> $185.00 <br /> <br />$894.75 <br />$894.75 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> PAYEE: <br /> RECEIVED BY: cr ...................................... TYPE: CHECK ¢~: 0 <br /> <br />· THIS IS A VALID PERMIT, THIS PERMIT EXPIRES 180 DAYS FROH ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF lBO DAYS, OR IF CONSTRUCTION FAILS TO HEET ALL <br />EQUIRENENT$ OF STATE LAN8 AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERHIT <br />SALL BECOHE NULL AND VOID. <br /> <br />REMARKS: NEW RES <br /> <br />HEIGHT; SETBACKS: FR 20 <br />TOTAL SQFT: 2414 LS"-5 <br />STORIES: i RS-'8 <br />PLAN.ACTION: RR~5 <br />ENERGY PATH: 1 SP ...... <br /> <br />'DONALD E. WOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICECOPY <br />FORM # MC 15.56 REV, 4/~ <br /> <br /> <br />