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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 />I am areglsteredbuilderOR( )theauthodzed representative <br /> <br />Tho work will be performed bY 8 registered buitder, <br />Other_ <br /> <br /> BATE: '~e/ez/93 <br /> <br /> BARTOSZ, DANIEL <br /> <br />TIME: 15: 25: 4~ <br /> ' TA~) ~gT~ 0_040 ; c,~'¢i~ENTI AL <br /> CONSTRUCTION TYPE; <br /> <br /> AUHSVILLE OR 97~25 <br /> <br />use O~ BUlLOI~.SiDENTiAL ACCESSORY STRUCTURES ~o oF ~oo~s <br />MAILING A~O~ESC: SUBDIVISION: <br /> <br /> PO BOX 720 <br /> AUHSVILLE~ OR 97325 SITE HUHBER: 9~-83368 <br /> PHONE ~ ~ VALUATION: $4~ 8~ 8~ <br /> <br />W~OTW: ~5.O~P~H; 131 :~EA; 12445, UN,T~ i~ ,~. LOT'. iCO~: <br /> I i <br /> <br />TYPE: BUILBING PER~IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 25902 <br /> Nichols Cons(r~;ction Inc <br />12164 W Stayton Rd <br />AUMSV~iIe, 97~25-0000 <br />PHONE, <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE: <br /> <br /> 58313 <br />ARCHITECT/ENCINEER~ NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br /> $2.53 <br /> <br />$85.86 <br />$85.86 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVE~) BY: PB TYPE: CHECK ~: 0 <br /> S THIS IS A VALID PERHIT. THIS PERHIT EXPIRES 180 DAY-q FROH ITS ISSUE DATE. IF <br />COHSTRUCTIDN CEASES FOR A PERIOD OF 180 DAYS~ OR IF COHSTRUCTION FAILS TO HEET ALL <br /> EGUTREHENTS OF STATE LA#$ AND HAR~OH COUHTY BUTLDiHG AHD ZONING ORDZNAHCES~ THIO PERHIT <br /> ALL ~ECOHE HULL AHi) VOID.. <br /> <br />ENERGY PATH: <br /> <br />RE~ARK8. STORAGE BLBG <br /> <br />HEIGHT: . SETBACKS: FR 28 <br />TOTAL SQFT. 480 LS-8 <br />STORIES~ 1 RS-8 <br />PLAN.ACTION: RR-8 <br />ENERGY PATH: SP~ ...... <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY ............ <br /> <br />FORM # MC 15-56 RBV, 4/90 OFFICE COPY <br /> <br /> <br />