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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 performirtg work on a property I OWfl or occupy. <br /> l am a registered builder OR ( ) the authorized representative <br /> ct a registered builder, <br /> The work will be performed by a registered builder. <br /> Omer <br /> ~ have read and agree to the terms stated on the reverse side of <br /> this document. <br /> <br /> OATE: 11/19/92 <br />OWNER; <br /> HUNCH, JAMES <br /> <br /> 10584 HILL CREEK RO <br />AUMBVILLE OR <br /> <br />USE OF ~U~LDING; <br /> SINGLE FAMILY DWELLINGS <br /> <br />SAME <br /> <br />PHONE: <br /> <br />TINE: 12:54:57 <br /> ?x~'Ldtl ..... CATEGOR~i <br /> 56418-000 RESIOENTIAL <br /> <br /> 5-N <br /> SE ~ ~¢i OU PANT LOAD: <br /> 97325. : <br /> <br /> SITE NUMBER: <br /> VALUATION: $16~000.00 <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. 47711 <br /> G A Hadley,Builder Inc <br />2157 8roadvlew Ct NW <br />SaleB, 97304-0000 <br />PHONE: 581-8756 <br /> <br /> ITEM <br />8UILOING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE: <br /> <br /> 45508 <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 /> $116.50 <br /> $75~73 <br /> $5.83 <br /> $5.83 <br /> <br />$20~.89 <br />$205.89 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVED BY: PB ~ --- TYPE: CHECK ~: 0 <br />* THIS IS A VALID PERHII. THIS PERMIT EXPIRES 180 DAYS FRO~ ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br />EOUIRENENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SALL BECOME NULL AND VOID. <br /> <br />ENERGY PATH: <br /> <br />HEIGHT: 15 <br />TOTAL Sg FT: <br />STORIES: 1 <br />PLAN.ACTION: <br />ENERGY PATH: 1 <br /> <br />REMARKS: AOOITION BATH AND UTILITY RELOCATION <br /> <br />DONALD E. WOOOLEY, MARION COUNTY 8UILOING OFFICIAL / BY <br /> <br />350 <br /> <br />SETBACKS: <br /> LS 10 <br /> RS- <br /> RRZ~O <br /> SP <br /> <br /> OFFICE COPY <br />FORM # MC 1 ~-~$ REV, 4¢~0 <br /> <br /> <br />