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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 />OWNER: <br /> 7 .I. ME,, 8: 42:43 <br /> DA'f'E: 0912,9193 "h ". <br /> <br />TAX LO7: <br /> <br />CATEGORY: <br /> <br /> .[,¢:i, 80 PARK AVE NE <br />use OF ~UlCQI~!REfl;'A (:IR 97002 <br /> <br />C~3~.. ~T~A CT CITY: UGB <br /> <br />N~RiEON COUNTY~ YES <br /> <br />SUI3DIVIStON; <br /> <br />4 <br /> <br /> AGEN'T: HART ]'.N EL, ARK <br /> PO ~t]X ].68 AURORA 97002 <br /> PI-lONE: <br />LOT; : ~LOCK: SECTION: TOWNSI41P; <br /> <br />SITE NUMBER: 93-02701 <br />VALUATION: $127~ 000,, 00 <br /> <br />TYPE: ~WELLING PER~IT OR APPLICATIQN HO: <br /> <br />CON'ff(AC'r,~JR~ NO,, 21.960 <br /> Har'i:ir~ (.,la¥'k Cons~rttc'l'tion I~7c <br />PO Box 3,68 <br /> <br />F HONE:~ 678,,,,:[ lC9 <br /> <br /> Z'fEM <br />DWELL. lNG BU;i:.L, DIFIG FEE <br />]DWEIJ.,.II,I6 F'LUMBTNG <br />DWELLING ME[;HAFIZ[£:AL <br />DWELLING [~L. ECTRI CAL <br />DWEI_,LZN6 STATE SURCHARGE <br />I)WELL:[N6 F'LAN REVIEW <br />TURNPIKE ~/W - bt. DC INSPECTION <br />TURNPIKE ~)/W - PU~d~:[C WORKS <br />EWELLING ZONING SURCHARGE <br /> <br />FAYEE,, <br /> <br /> 49732 DP <br /> <br />ARCH~ 1ECT/I:,NGIt'iEER, <br /> <br />PNONE: <br /> <br />TOTALASSE~SE~ FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />[)UANTITY <br /> <br /> RECE]:VED BY: F'B ....................................................... TYFi:,. CHECK :~: 0 <br /> <br /> * THIS IS A VALID PERMIT. THIS PERMIT EXPIRES i88 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 188 DAYS~ OR IF CONSTRUCTION FALLS TO MEET ALL <br /> EQUIRE~ENTS OF STATE LAWS AN~ MARION COUNTY BUILDING AN~ ZONiN~ ORDINANCES, THIS PER~IT <br /> ALL BECOME NULL AN~ VO~. <br /> HI~Z~I'41': 24 SETBACKS= FR 45 <br /> TOTAL ~ <br /> <br /> PLAN. ~ T <br /> ENERGY PATH: I OF'[~ .......... <br /> <br /> EHARE!!h: Rg¢~ SS,¢ <br /> <br />D,r.)NAL D L::,, <br /> <br /> <br />