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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 4~88-5 ¥"47 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A,M, <br /> <br />The w~rk will be Performed by a registered builder, <br />Other <br /> <br />PHONE: ?69-5732 <br />LOT; BLOCK; <br />WIDTH: :DEPTH: <br /> <br />icATE~cRY: <br /> RESIDENTIAL <br /> <br /> DATE: 03/18/88 TINE;: 8;59:02a <br /> KN fGHT, ~vlI CHAEL ; <br /> <br />S~TU5 ADORESS: i CONSTRUCTION TYPE: ! OCCUPANCY: <br />10509 STAYTON ROAD SE }'a~'~,6~ 6F~:~i 1'~6~: ~60UUPAN~ L613~: <br />AUMSV ~ LLE OR 97325 <br /> <br /> S~NGLE EAN~LY ~ELb~N~ <br /> <br /> sITE' NUMBER: 3845 <br /> VALUAT ~ON: $0. O0 <br /> <br /> !? ; 9S ~ 'iW ~ EFU 50 <br /> : 0.28000 j AC ~ NO ~ NO <br /> <br />BUILDING PERMIT OR APPLICATION NO: 17119 <br /> <br />CONTRACTOR. NO, <br />KNIGHT, MICHAEL, <br /> <br />ARCHITECT/ENGiNEER, NO, <br /> <br />PHONE; 769-~673~ <br /> <br />PHONE <br /> <br /> ITEM <br />BUILDING FEE <br />FLEET ,SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> $10.00 <br /> ¢3.84 <br /> 0.50 <br /> <br /> TOTAL ~SED FEES $14.34 <br /> :;PRE¥IOUS'RECEIPTS $14,34 <br />, :q'~-IS, 'RECEIPT $0.00 <br /> <br />RECE;IVED BY; pb = ...... CHECK ~: <br />· ~ THIS .~S A VALID PERMIT' ~ i;H,i'S PE~IT E~PIRES:~,80 DAYS iF~i'4OM ',ITS ISlE DATE <br />CONSTRUCT[~ C~ES FOR A :PERIOD OF FA[Lo TO MEET ALL <br />RE~Z~EMENTS OF STATE LA~ AND ~ONZNG OROZNANCES, TH;S <br />SHALL 8EC~E NULL AND <br /> <br />TiON:t <br /> <br />SETBACKS~ PR-20 <br /> <br />REMARKS: DE~ <br />HEIGHT= <br /> <br />DONALD E, MOODLEY, MARION COUNTY BUILDING OFFICIAL /,BY <br /> <br />TOTAL SQ PT: 0 sTORIES: t <br /> <br />FORM ,, MO 15.56 REV ~/87 OFFICE COPY <br /> <br /> <br />