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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH STRE~=T NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE; 588-5147 8;00 - 4:30 <br />24 HOUR CODE-A-PHONE: 888-7904 <br /> <br />I am performing work on a property I owe or occupy. <br />lam a registered builder OR ( )theauthor]zed representative <br />of a registered builder. <br />The work will De performed by a registered builder, <br />Other <br /> <br />OWNER~ DA'I'J~i]; 09/27/9;~l TIME] J. 0.,¢8.,0~., <br /> <br />TAX LOT: <br />OON~ RUCTION l'~¢E: <br />OON'CRACT CITY: UGg; <br /> <br />FAMILY <br /> <br />CATEGORY: <br /> <br /> RilZS~ DENT IAL <br />OCCUPANCY: <br /> <br />OCCUPANT LOAD: <br /> <br />PHONE: '749,-,;~5~8 <br /> <br />NO OF 8EOROOMS: <br /> <br />SITE 14UMBER: ?~-0~2~ <br />VALUATION: $:[4,850.00 <br /> <br />...............LOT: : BLOCK: : SGOTION; i TOWNSHIP: BAN~'. :'6N~: MAP: <br /> <br /> 32 i 80 ;--:J W 48 <br />iWUDTN; CEPYH : AC4EA'. , UN TS IRREG. LOT~ ; CORNER: <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CON'f'RACTOR.~ NO.. 08469 <br /> Bresee <br />4597 'f'REES:[DF' CT I, IE <br />Salen, 97305-0000 <br />PI-lONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN ~EVIEW <br />BI.JILiQ:[NG STATE $LJRCHARGE <br />ZONIN(; SURCHARGE <br /> <br />PAYEE: <br /> <br /> 4997~ <br />ARCHITECT/EN(;INEER~ NO. <br /> <br />PHONE: <br /> <br />QUAN'f ]:TY <br /> <br />AMOUNT <br /> $110.50 <br /> $7:L83 <br /> <br /> RECEICED BY: PB TYPE: CHECK 8: 0 <br /> * THIS IS A VALID PERMIT. THiS PERHIT EXPIRES 18~ DAYS FRQM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIl]I)OF 188 DAY$~ ORIF ~OHSTRUCTION FALLS TQ ~EE~ ALL <br /> EQUIREMENTS DF STATE LAWS 'AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THiS PERMIT ; <br /> ALL BECOME NULL AN~ <br /> <br />ENERf;;Y PA'tN: I <br /> <br /> SETBACKS: FR ,~,0 <br />TOTAL SQFT: 3~0 <br /> L,:~ ,t. 0 <br />STORIES~ 1 RS'"'/ <br />PLAN. ACT ~:ON: Ig, R'-'3 ~ <br />ENERGY F'~TH: 1 SF'] ........... <br /> <br />~E. MA~KS., I~ES: ADDN <br /> <br />DONA[_I) E,, WOODL_E:Y~ MAi'(:EI]N COUN'I"Y BUILDING OFFICIAL / BY <br /> <br />OFFICE COPY <br /> <br />TOTAL ASSESSED FEES $170.39 <br />PREVIOUS RECEIPTS $193,39 <br />T:IIS RECEIFT $~.~ <br />BALANCE DUE $0.08 <br /> <br /> <br />