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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 /> lam aregisteredbullderOR( ) the authorized representative <br /> Other__ <br /> <br />OWN6R: <br /> HtJI..DROH,j lED <br /> <br /> 7&&& EV'rE I_ANE <br />AOHSVILLE OR <br /> <br />SINGLE' F'AMII_Y <br /> <br />PHONE." 769-27,[7 <br /> <br />SIGNATURE OF APPLICANT: , <br /> <br /> 74110-~t 60 <br /> <br />5-H <br /> <br />MAR[OH COUNTY <br /> <br />SUBDIVISION. <br /> <br /> THE RAN[;E <br /> <br /> OITE HUMBER~ <br /> VAL. OAf ION,-, <br /> <br />LOT: BLOCK: S~CTION: <br /> ~:~ 4 2~ <br /> <br />4.49 <br /> <br />TOWNSHIP; RANGE <br /> <br />8S I,W <br />UN TS qREG. LOT; <br />AC YES <br /> <br />CATEGORY <br /> <br /> I:d;: S :r i)EN i ;I. Al,,. <br />OCCUPANC'] <br /> <br />OCCUPANT LOAD: <br /> <br />CORNER <br /> <br /> HO <br /> <br />TYPE: BUILDINg- <br /> <br />CON fRACI'C)r~,, 1,10~ <br />Mt, LDROW~ ED <br /> <br />PERMIT OR APPLICATION NO: 45175 <br /> <br />PHOHE: 769--2717 PHOHE: <br /> <br />BUILDING FFE <br />PLAH REVIEW <br />~I.;.(L.D:r. NG 8f'A'I'E SURCHARGE <br />ZONINg SURCHARC,,E <br /> <br />PAYEE: <br /> <br />TOTAL ASSESSE:])FEES ....... <br />PREV:[OUS RFC;EJIPTS <br />THIS REC',E 1 PT <br /> <br />(~ U A N 'f' I T Y <br /> <br />AHO(JN'I <br /> $:1.95.0~) <br /> 2','; ,, 45 <br /> $?,, 65 <br /> $9.65 <br /> <br />$,%/,. <br /> $~) ,, <br /> <br />BALAHCE DUE <br /> <br /> RI:.(.,E. IVI::I) BY:: PB 'f'YI='E;: L, HI:.LI'. ' 0 <br /> <br />* THIS IS A VALID PERMIT. THIO PERMIT EXPIRED 18~ BAY~ FROH ITS IOOUE DATE, <br />CONSTRHCTION CEASES FOR A PERIOD OF 10~ DAYO~ OR IF CONSTRUCTION FAILS TO MEET ALL <br /> EQOIREHENT~ OF 9TATE LAMS AND MARION COUNTY BUILDING AND ZONING ORD~NANCES~ TH~B PERMIT <br /> ALL BECQ~E HULL AND VOID, <br /> HEI6. HT: o1... Y ~ A~ .x. F'k 2~ <br /> TOTAL SC~ FT~ 848 <br /> [ NLR(.~Y PATH:,. 1 SIORtES: ~. <br /> PLAN, ACT, ION: ~[~ ~'~0 <br /> EHER~;Y FA[H~: 1 <br /> <br /> ' '; .... IIICkEA~sE IH <br /> REMARKS: Al)DING 2HD STORY TO E.X..STING RES (NO ~,"'"" c ~ <br /> <br />OFFICE COPY <br /> <br />][)ONALD E., WOCIt)I..EY,, MARION COLIN'fY BI.IiLDIH6 OFFICIAl,. / BY <br /> <br /> <br />