|
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 OA 8 property J own o¢ occupy·
<br />I am a registered builder OR the authorized representative
<br /> of a registered builder,
<br />The work will be performed by a registered builder·
<br />Other·
<br />
<br /> I have read and agree to the terms stated on the reverse side of
<br /> this document.
<br /> bATE,,: :1,.I. 102193 '!'Z Hi~: 8;,, 29.. 04
<br />;bWN~R' ~ -, ' c
<br /> :(.F.J:.I 1F,II;(, ], H CO~HU]q]'.T¥
<br />
<br />.................. ~ON~¥~U~"flON TYP~ ocdbi~ANCf'.'
<br />
<br />MAILING ADDRESS:
<br />
<br /> F'O BOX 37S
<br /> DETRCI];T 97,,-542
<br />
<br />Sg BPIVI$1ON:
<br />
<br />SITE NUMBER: 93-00967
<br />VAI,.,UATION: $7.~840,00
<br />
<br />LOT;
<br /> 20 9S 7E
<br /> , . ......................................
<br />WIDTN DEPTH: ................ ~A: S~,, UNIT~. ~ ~j~ ~i, LOT;
<br />
<br />BLOCK; sEC~TI6f~ ¥0~1~5H1'¢: .... R,~N'~ ............. !~Z'dN~': ' ...... ; I~AP: ''
<br /> ~ P , 102
<br />
<br />TYPE: BUILDING PERMIT OR APPLICATION NO:
<br />
<br />CONTEACTOFc~
<br />'81;;d~] ]'. 'T'E N B U S H COHHUNITY
<br />PO )~fSX
<br />DETf;'.O'J: T
<br />F'H/;NEI,, 0,54-,,'3314
<br />
<br /> ]: 'f E H
<br />I(~U ]iJ,..I) 1 NIl FEE
<br />~-:' t,,. ~/iq REVIEW
<br />BIJZI/I,.,DiI,I(:, STATE SURCHAR~,i~i:
<br />ZO N ]:I,JC; SURCI.-JAR(;E
<br />
<br /> 50657
<br />
<br />Ai;;,'C H I'f'ECT/E NG I IqEI_::R ? NO.
<br />
<br />QUANTITY AMOUNT
<br />
<br /> $5.43
<br /> $3.43
<br />
<br />$119.89
<br />$119.89
<br />
<br />PHONE:
<br />
<br /> TOTAL ASSESSED FEES
<br /> PREVI00S RECEIPTS
<br /> '¥'H IS RECEIPT
<br />
<br /> BALANCE DUE
<br />...... .................
<br />
<br />TYF'E: CHECt'i :~1:: 0
<br />
<br />F'AYEL:.:
<br />RECEIVEP ~'(:
<br />
<br />$0.00
<br />
<br /> * THIS IS A VALID PERMIT. THIS PERHtT EXPIRES 180 DAYS FROM ITS ISSUE DATE. iF
<br />CONSTRUCTION CEASES FOR A PERIOD OF lSD DAYS, OR IF CONSTRUCTION FALLS TO HEET ALL
<br /> EgUiREMENTS OF STATE LA~S AND flARZOfl COUNTY BUILDING AND ZONIN60RDINANCES~ THIS PERMIT
<br /> ALL 9ECONE NULL AND VOID.
<br />
<br /> FIEtGHT: 1.6
<br /> TOTAL SQ F'T:
<br />ENERGY F'ATH: ,?.'t'fOR I ES: :[
<br /> PLAN. ACTION::
<br /> ENERGY PATH:
<br />RI!~:HARKS: RE8 A~)D TO BLDg- R-:!.:}l BRE:i:TENBt. JSH UPPFR RESORT,,
<br /> SA
<br />
<br />DONAL. D t,'-'],, 1400D]_Lz.Y~ HAF~:I:ON COUNTY BLJiLO:U,I~'; OFFICIAL / BY
<br />
<br />224
<br />
<br /> SE-I'BAOKS: FR 20
<br /> LS'-/
<br /> RS'"'/
<br /> RR"-3f)
<br /> sI:'"-
<br />
<br />*NOT [)lq F'OR.~t,~
<br />
<br />FORM ~ MC 15-5~ REV, 4/90 OFFICE COPY
<br />
<br />
<br />
|