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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 />of a registered builder- <br /> <br />, HOR'FSCFI,~ JOHN ~' ~ ....... <br />~ITO~ XDDRES~ ~, CONSTRUCTION TYPE: ~OCC'OPA~. " <br /> <br /> ,76~ OI NEY ST i ~AOT OITY: ~ OGB; ]O~NT LOAD: <br /> ,.~ ~[ N~l,,E ~ LZ. ~ WELLZ ~S J <br /> <br /> P0 BOX 27~ <br /> AU~SVILt_E OR 97~,,¢ ' SITE HU~BER: ~3-$e8~4 <br /> VAI.,,UATZON: <br /> $88~ 8~2.88 <br /> <br />TYPE= DWELLING <br /> <br />PERMIT UR APPLICATION <br /> <br />CONTRAC'f'OR., NO. <br />~ORTSCI-I~ JONN & I.,,At,IIr,~A <br /> BOX 290 <br />AUHSV'.[LI..,E OR 77~25 <br />F HON.,; 749-2576 <br /> <br /> ]: 't'~Z M <br />DWELL,.I'NI; BUILD,'F,I,I6 FEE <br />DWELL:lNG PLUMBING <br />DWELL',[N6 MECNANICAL <br />DWELLING ELECTRICAL <br />DWELLING STATE SURCHARCE <br />DWELLING PLAN REVIEW <br /> <br />I AYEE,, <br /> <br /> 4578& DP <br />-SRCHITECT/ENGINEER~ NO. <br /> <br />Ir'H 0 NE: <br /> <br />TOTAl_ ASSESSED FEES <br />F'RE¥IOUS" RECEIPTS <br />THIS RE(.E:[PT <br /> <br />BALANCE DUE <br /> <br />QUA N T ]: T Y <br /> <br />AHOUNT <br /> $;~7.89 <br /> $127,,2:L <br /> $30.70 <br /> $96.21 <br /> $29.40 <br /> $105.00 <br /> <br />$802.41 <br />$80~.41 <br /> $0.00 <br /> <br />$0.00 <br /> <br /> R~;CEIVED BY: PB lYi' :'E.'" - CHECK ~: 0 <br /> <br /> * THIS IS A VALID PERMIT. THIS PERMIT EXPIRES 18~ DAYS FROM ITS ISSUE DATE. IF " <br />CONSTRUCTION CEASES FOR A PERIOD OF 18~ ~AYS, ~R IF CONSTRUCTION FALLS TO MEET ALL <br /> EQOIRENENTS OF STATE LAWS AND MARIONCOONTY BUILDING AND ZONIN~ OEBIHANCES, THIS PERMIT <br /> ALL BECOME HULL AND VOID. <br /> HEIGHT: SEfBACI\o. F'R 28 <br /> TOTAL SQ FT: 2100 LS'-'5 <br /> STORIES: I RS-5 <br /> PLAN. ACTION: RR'-'5 <br /> ENERGY PATH: 1 SI:'"' <br /> <br /> 1 <br /> <br />FORM # MC ~S.5~ REV. ~ OF FICE COPY <br /> <br /> <br />