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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 />The work will be performed by a registered builder, <br />Other. <br /> <br />OWNE,: DATE: 09/08/¢~ l:'rME: J, 2."59."0~ lA'LOT; C~fEGOR¥: <br /> HERN~ KEV~N RES]:~ENTIAL <br />SITUS ADDRESS: CONSTRUCYI~N TYPE: O~'UPANcY: <br /> <br /> 715 MICHAEL WAY CONTRACT OITY: OGe; :OCCUPANT LOAO: <br /> ~UMSVII,..LE OR ~7~25 ' AUM~V~LL~ NO <br /> <br />SINGLE I:"'AM~LY ~)WELLINGS <br /> <br />PO BOX 92~ <br />AUHSVIL. LE~ OR 77~25 ~ITE NU~EE: <br />PHONE: 749..-1~15 VALOATION: $i~7,980. ~8 <br /> <br />TYPE: I)WELLIMG PERMIT OR APPLICATION <br /> <br />CONTRACTOR, I'10, <br />FIERN, KEVIN <br />PO BOX <br />AUMSVILLE~ OR 97~25 <br />PHONE: 749-i~15 <br /> <br /> ITEM <br />DWELLING BUILDING FEE <br />DWELLING PL[JMBING <br />DWELl. lNG MECHANICAL <br />DWELLING ELEC'rR%CAL <br />DWELLING STATE SURCHARGE <br />DWELLING PLAN RE¥IEW <br /> <br /> 49166 DP <br />ARCHITECT/ENGINEER~ MO. <br /> <br />PHONE: <br /> <br />QOANI'ITY <br /> <br />TOI'ALASSESSED FEES <br />PREVIOUS RECEIPTS <br />TNI~ RECEIPT <br /> <br />AMOUNT <br /> $525.47 <br /> $191.62 <br /> $47.74 <br /> $147.~ <br /> $45.72 <br /> $185.00 <br /> <br />$1,145.20 <br />$1~145.20 <br /> $8.00 <br /> <br /> BALANCE DOE $0.00 <br /> PAYEE: <br /> RECEIVED BY: PB ............... == ...... c_==_=~ .... ~__ TYF'E: CHECK f: 0 <br />~ TMIS IS A YALI9 PERMIT. THIS PERMIT EXPIRES 188 ~A¥S FROM ITS ISSUE BATE. IF <br />COHSTRUCTION CEASES FOR A PERIO~ OF 188 BAYS, ~R iF CONSTRUCTION FAILS TO MEET ALL <br /> EQUIREMENTS UF STATE :LAWS AW~ MARIUHC§UMTYBUIL~IWG AH~ ZONINQ URBINANCES~ THIS PERMIT <br /> ALL BECOME MULL AW~ VOI~. <br /> <br /> HEIGNT: SETDACKS: FR 20 <br /> TOTAL SO FT: ~266 LS""5 <br /> STORIES: 1 RS-'5 <br /> PLAN. ACT I ON: RR'"'5 <br /> ENERGY PATH: t SF'~ ....... <br />REMARKS: NEW RES <br />· <br />I)ONAI_D E,. WOOD[,.F,.Y,~ MARI~N CSU~TY BIJILI)~N~ OFFICIAL / BY ........................................................ <br /> <br /> OFFICE COPY <br />FORM # MC 16,56 R~. 4/90 <br /> <br /> <br />