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MARION COUNTY BUILDING INSPECTION <br />SENATOR 8LDG, 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 a registered builder OR the authorized representa ve <br />The work will be performed by ~ reg s e ed bu de <br /> <br />this document. <br /> <br />"FAX LOT: ..... ~OAYEGORY'. ' <br />75389- 780 I REStDENT;I:AL <br />CONSTRUCTION T'CP~ .... f OCCUPANCY' <br />5-N ~ <br />HA~:~'.[ON COUNTY NO <br /> <br />I NO OF BEDROOMS: , <br /> 4 <br /> <br />SANE <br /> <br />F'HOI,IE:: <br /> <br />LOT: I 8LOCK: ~E~'~IO~ <br /> 24 <br /> <br /> SITE NUNBER: 93-01649 <br /> VALUATION: $57,608.80 <br /> <br />..................................... / ~dA~ ............ ~'~A~: ....... <br /> <br /> 8s .,4 ........ AR,~ ......... ~ 5,i <br /> <br />1819 :L~77 1897463,, <br /> <br />SF" NO ') YES <br /> <br />TYPE: BUILBING PERMIT OR APPLICATION NO: <br /> <br />£,ONlkACI-OR~ i,. E/. 61474 <br /> Larry P Koen'~.q <br />5496 72nd Ave SE <br />Sale% ?'7,,58'.[,,,,0008 <br />PHOI,IE: .5 ~-.,' !:; 80S4 <br /> <br /> :r. TEH <br />l~[J '.1;I.,, l~ i[ J~l G FEE <br />PLAN REV I E'W <br />]~U.~;i...J;)IN6 STATE SUP. CHARI;E <br />ZOI,I'.[ Nf; SlJF~ CHA F~'(; i;~ <br /> <br />F AYFr. I=. <br /> <br /> 47I~B? <br />ARCHITECT/ENGINE;el% NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br />BALANCE ~UE <br /> <br />(:~UANT I'fY <br /> <br />AMOUNT <br /> $387.88 <br /> $199.55 <br /> $15.55 <br /> $15.35 <br /> <br />$0.00 <br /> <br /> RECEIVED BY: PB TYPE: CHECK ~:: 0 <br /> ~ THIS ~S A VALID PERMIT. THIS PERMIT EXPIRES 18~ BAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOB OF 18~ BAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br /> EQOiREMENTS OF STATE LAWG AND MARION COUNTY BUILDING AND ZOMING ORDINANCES, THIS PERMIT <br /> ALL BECOME NULL AN~ VOID. <br /> <br /> HEIGHT: <br /> TOTAL SQ FI': 1288 <br />E I,I F_';F',G Y F'ATFI:1 STORIES: '~ <br /> PLAN. ACTION: <br /> ENERGY PATH: 1 <br />RI..HAI.k .... BUr, AI)D'iT]:ON(I.,R.¢C. OHPUTORF,tPh~ & 2 BEPRfqS TO EXI'. <br /> <br />I)0%IAI,,,~) E'.. HOODL,EY., MAR',[ON (3001,1TV BUIL.!OING OFF']'.C'.[AL /BY <br /> <br /> SETBACKS: FR._.20 <br /> LS / <br /> RS'"1.8 <br /> RR'"'~8 <br /> Si,"' <br />2BR HSE. ~ <br /> <br />FOR~t # MC t6-~¢ REV, $/',~O OF FiCE COPY <br /> <br /> <br />