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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 - 4:80 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />SIGNATURE OF APPLICANT: <br /> 0ATE: <br /> <br /> :[30 140 150 188 :~RD ST -- <br />AUHSVILLE OR 97325 <br /> <br />TAX LOT; CATEGORY: <br />90080-3i0 COHMEFb] I Al,,, <br />cONSTRUCTION TYPE: OCCUPANCY'. <br /> <br />CONTRACT OITV: , LIGB; : OCCUPANT LOAD: <br /> AUflSVILLE : NO <br /> <br />APARTMI!~NTs <br /> <br /> i MERRIEIELI) <br />5494 MARION RD SE <br />'fURI,IEF~ 0R 97892 SITE HUMBER: <br />F'HONE: 769-~5~7 VA[_UATION~ <br /> <br /> ¢ 88 ¢ 51 <br />188 ; 10~ i~888.: SF NO <br /> <br />TYPE: BUILI)IHG PERMIT OR APPLICATION 140: <br /> <br />CONTRACTOR, NO. 91274 <br />CALVIN R. MARSNALL <br />5494 MARION RD SE <br />TURNER, 97792-0000 <br />PHONE: 76~-3597 <br /> <br /> ITEM <br />BUIL~ING FEE <br />PLAN REVIEW <br />B[JILDIM6 STATE SURCHARGE <br /> <br /> 49271 <br />ARCHITECT/ENGINEER, biO. <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $560.50 <br /> <br /> $28.07 <br /> <br />TOTAL ASSESSED FEE8 $952.88 <br />PREVIOUS RECEIPTS $952.86 <br />THIS RECEIPT $0.00 <br /> <br /> PAYEE: : 0 <br /> RECEIVED BY: P8 TYPE: CHECK ~: 0 <br /> <br /> $ THIS IS A VALID PERHIT, THIS PERMIT EXPIRES !SG DAY~ FRON ITS ISSUE D~TE. IF <br />CONSTRU2TIOH CEASES FO~ A PERIOD OF 15~ DAYS~ OR IF CONSTRUCTION FALLS TO MEET ALL <br /> EQUIREMEHT~ IQF STATE LA~SAHD F~RIONCOUHTY BUILBIN~ AND ZONING ORDINANCES, THIS PERMIT <br /> <br />SETBACKS: FR 56 <br /> L0-30 <br /> RS-30 <br /> PR-8 <br /> sPZ .......... <br /> <br />ALL BECOME NULL AND VOIg; <br /> <br /> HEIGHT: 22 <br /> TOTAL SQFT: ~456 <br />ENERGY P~TH: 1 STORIE~: 2 <br /> PLAN.ACTION: <br /> ENERI;Y PAI'H: 1 <br /> <br />REMARKS: 4/F'L, EX -' <br /> <br />DONALD E. WOOOI..EY, MARION COUNTY BUILDING OFPZCIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 1 ~.56 REV, 4/90 <br /> <br /> <br />