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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: 888-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 888-7904 <br /> <br />The work will be perforfl)ed by a registered builder. <br />Other. <br /> <br />have read and agree to the terms stated on the reverse side of <br />Ibis dooumor/t <br /> <br />SIGNATURE OF APPLICANI: <br /> DATE: <br /> <br />DATE: 1011:[/93 TIME: 10: 18:14 : TAX LOT: <br /> <br />CATEGORY: <br /> <br />oCAf g ;I <br /> <br /> 110 PATTON RI) S <br /> DE'¥ROIT ......... oR 97:~42, ~ I DETROIT II0 <br />USE OF BUiLDiNG: <br /> <br />MRj~,j~ AODR~OOL.,~) AND OTHER.EBWCATIONAE BUtLDINGSsu~olVlSlON: <br /> <br />O~C'+,J~ANT LOAD: <br /> <br /> F'O BOX 588 <br /> DETROIT. OR 97~42 SITE NU~BER: 93-~45& <br /> PHONE: 8~4-~6~ VALUATION: $40~800.00 <br />,LOT: BLOCK: ~EOTIO~i ,TOWNSHIP; : RANGE: ZONE: MAP: <br /> <br />TYPE: BUILDING PERNIT OR APPLICATION <br /> <br />CONTRAOTORv NOw 48256 <br />Mira Harris <br />18837 SE Hather Rd <br />Clacka~as. 97015-92~1 <br />PHONE: 654-894~ <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br /> 58461 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br /> TOTAL ASSES~EDFEES <br /> PREVIOUS RECEIPTS <br /> THIS RECEIPT <br />BALANCE DUE <br /> <br />PAYee: : <br /> <br />QOANTITY <br /> <br />AHOUNT <br /> $242.58 <br /> $157.6~ <br /> $12.1~ <br /> <br />$412.26 <br />$412.26 <br /> $0.00 <br /> <br /> RECEIVED BY: PB TYPE: CHECK ~: 0 <br /> * THIS IS A VALID PERHIT. THIS PERNIT EXPIRES 188 DRYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR APERIOD OF 188 DAYS, OR IFCONSTR~CTION FAILS TO MEET ALL <br /> EGUIREHENTS OF STATE LAWS AND NARIONCOUNTYDUILOING AND ZONING ORDINAHCES, THiS PERHIT <br /> ALL BECONE HULL AHD <br /> <br /> HEIGHT: 8E'rBACKS: FR / <br /> TOTAL 80 FT: 0 LD""/ <br />ENERGY PATH: STORIES: <br /> PLAN.ACTION: RR~"/ <br /> ENERGY PATH: <br />REMARKS: REROOF SCHOOL <br /> <br />DONALD E,, WOODLIEY~ HARION COONTY BUILDING OFFICIAL / BY ................................. <br /> <br />FORM/~ MO 1~-~6 R~V, 4/90 OFFICE COPY <br /> <br /> <br />