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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />2~0 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 />I have r\ead and agree to the terms stated on the reverse aide of DATE: .............................................. <br />this document, <br />DATE% eo/eg/93 TIME: 8:47:25 <br /> ~TAX LOT: ~ ~EN rIAL <br /> I1~97 FALCON COUR~ NE %~ I ......... ~ <br /> AURORA OR 978e2 1'-~8~8~ORTYf ua~; OCCUP*WT ~o~o~ <br /> <br /> J_ _X~ .... - ~ <br /> <br /> ................ <br /> PHOHE: 678-1890 ~ VALUATION. $1~ 988. e~ j <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR~, NO. <br />ORNDUFF, GREG <br /> <br />PERMIT OR APPLICATION NO: 48&54 <br /> ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: 678-1090 PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING - INVESTIGATION/DOUBLE FEE <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE: <br /> <br />TOTAL ASSESSED FEE.) <br />PREVIOUS RECEIPTS <br />TI-lIS,: RECE !;F>T <br />~AL~NCEi'~',D'tJE <br /> <br />QUANTITY A~OUNT <br /> $S2.50 <br /> $21.13 <br /> $32.50 <br /> $1~63 <br /> $1.63 <br /> <br /> $89.39 <br /> $89.39 <br /> $0,00 <br /> <br />$0,00 <br /> <br /> RECEIVED BY: PB TYPE: CHECK 4: 0 <br /> * THIS IS A VALID PERMIT,. 'THIS PERMIT EXPIRES 188 DAYS EROH ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR,'A"PERIOD' OF 18~ DAYS, OR IF :CONSTRUCTION FAILS TO HEEl ALL <br /> EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES~ THIS PERMIT <br /> ALL ~ECOME NULL AND ¥OIO. <br /> <br /> H <br /> ,TOTAL :SO' FT: <br />ENERr;Y PATFI: ~TORIES: <br /> PLAN. ACTION: <br /> ENERGY :~ATH: <br /> <br />REHARKS: ADDING 9ECK TO HO~ZLE HSHE <br /> <br />~NfiL,~ E. ~OBSLEY~ HAR~8N COUNTY BUZL~NE OFF~CIfiL / ~Y <br /> <br />FORM # MC 1~-~ REV, 4,90 <br /> <br />OFFICE COPY <br /> <br />440 <br /> <br />SETBACKS: <br /> <br />FR / <br />LS-5 <br />RS-12 <br />RR'"'~2 <br />sP'j ..... <br /> <br /> <br />