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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 58~5147 <br />CODE-A-PHONE 4:30"P.M. - 8:00 A,M. <br /> <br />of a registered builder, <br /> <br />Other <br /> <br />I have read and agree to the terms stated on the reverse side of <br /> <br />DA%E; !1/I?/87 TIME: 2;29:]9p .................... <br />KNOX, MICHAEL ~ ~ R <br /> CONSTRUCTION TYP~ !' OSCU~ANDY: <br /> i SN ' RS <br /> <br />AU~VI LLE OR 9?325 <br /> <br />MAILING ADDRESS: StNGbE FAMtL-Y DWELt,.tNK~S 1'~'~6i~i6~i ............ <br /> CAMELLIA HETGHTS gl <br />SAME <br /> <br /> SITE NUMBER: 2741 <br /> PHONE: ?59-?269 [ VALUATION: $59,495,09 <br /> <br /> 12 29 , ,, 8S ,, qN , AR ~ 48 <br /> 2a9 ' 474 , ~18026. ~ SF ! NO NO <br /> <br />'TYPE; BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR NO, 3360S <br />LINDEMANN ~ONST <br />:~O 8OX 869 <br />MEHAMA OR 97384 <br />PHONE: 859-3117 <br /> <br /> [TEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE <br />BUILDING STATE SUROHARGE <br />ZONING SURCHARGE <br /> <br /> 5338 <br />ARCHITECT~ENGINEER, NO_ <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br /> ~REV~OUS:~ECEIPT~ <br /> THIS REOE~P? ' <br />,: ei CE DUE <br /> <br />A~JCUNT <br /> $3'13,00 <br /> $203,45 <br /> <br /> $15,55 <br /> <br />$551,59 <br /> $0.00 <br /> <br />.~ETBA.A~ <br /> <br />REMARKS: NEiN RES RI~8088 R~3817 <br />HEIGHT: 14. TO'FAL SQ FT: <br /> <br />2396 STORIES: 1 <br /> <br />PLAN, ACTION <br /> <br /> ,, ~CHECK ~: <br />RECEIVED BY: pb ......... ,,,,_..~ ':~::~-'; ..._ <br />,x THIS ~S A VALID PE~IT ~ ~IS: :F~ I~S [~E DATE, ~F <br />~ONSTRUCT[O~ CE~ES FOR A PERIOD OF 180 DA~S. ,OR ~ZE ~S~CT[ON FAILS TO NEET ALL <br />REtIReMENTS OF STATE LAWS AND' ~R[~' :~UN~Y ;8U':IEDiNGf'~D Z~ING ORDINANCES, THIS PERMIT <br />SHALL 8E~NE NULL AND VOID. , ,, <br /> <br /> :Z; <br /> <br /> FA-20 LS-t0 ~-10 RR-100 SP-::: , <br /> <br /> <br />