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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 wlil be performed by ~ registered Duilder, <br />Other ,, , <br /> <br /> 9A'I'E: 10/21/~2Z~ TIME: 12:28;;58 <br /> <br /> F'AI_HE~,~ KURTIS ~ 7586~-~ RESI~ENI'IAL <br /> <br /> ~ 5-N ~ M.,,,1 <br /> 777J TEREAHCE LN SE ~-~/~s~-~-6~;~9: ........... <br /> AUHSVILL. E 0E ~7~25 ~ R~EI'~"COUNTY ~ NO <br /> <br /> OTHER HON~RES~DEN'T~L BUiLDiNgS <br /> <br /> ~ TERRENCE <br /> SAHE ~ <br /> ~ SITE NUflBER: 9~-82471 <br /> F'NONE: 74~-2~48 [ VALUATION: $7,~ 776. <br /> <br />' 165 ' 2~4 j . 386~. ~ SF NO ~ NO <br /> <br /> TYPE: BUILBIH~ PERMIT OR APPLICATI0N NOt 48586 <br /> <br />COIq'I'RACTOR,, NO. <br />PALMER, KORTI$ <br />SAME[ <br /> <br />ARCHITECT/ENGIHEER~ NO. <br /> <br />PHgNE: 749-2048 PHONE: <br /> <br /> ITEH <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING ~TATE SURCHARGE <br />ZOHING SURCHARGE <br /> <br />QUANTITY <br /> <br /> % THIS IS A VALID <br />CONSTRUCTiOH CEASES <br />EOUIREMEHTS OF STATE <br />ALL BECOME HULL AND <br /> <br />AHOUNT <br /> $68.50 <br /> $44.5~ <br /> $3..4~ <br /> $3.43 <br /> <br /> TOTAL 'ASOESSEB FEES $119,.89 <br /> P~EVIOUS RECEIPTS $119.8~ <br /> T!!~S, :~ECEiIP'T ' $0.00 <br /> <br />PAYEE: -' <br />RECEIVE~ BY: F'B ....................................... TYPE: CHECK ~: 0 <br /> <br /> EROM ITS ISSUE DATE. IF <br /> FALLS TB MEET ALL <br /> ZBHIHG ORDIHAHCES, THIS PER~IT <br /> <br />HE,IGHT: 14 SETBACKS: FR / <br />TO~AL SQ FT. 864 L.S-.:; <br />STORIES: 1 RS-'5 <br />PLAN. ACTION: <br />ENERGY PATH: SP] ........... <br /> <br />ENERGY PAI'H;; <br /> <br />REHARKS: POLE BI..DG <br /> <br />~OI.IAI_D 1_:'.. WOODLEY, MARION COLJNTY BOILDING OFFICIAL / BY <br /> <br /> <br />