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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 B:00~ 4:$0 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />ow~,~'l'E: 03/29/91 TIME: 7:55t31 ::"¥~.~' [o~f; ................................................... 1 ~Ti~6~: <br />ALL.BY, TH~H ~ ,~02~ ~.D~ [ ~E~IOEN1 iA <br /> <br /> "'~5 ~TE~;: .......... <br /> 10378 ~EG ~AO OR 97002NE L :],].' ~ , <br />U$~ OF BUiLDiNG: ........................ ............ <br />MAILING ADDRESS: SINGLE F~ICY ~[[N~ su~m v S~SN,. ...................................... ' <br /> <br />PHONE: 678-2258 SiTE NUMBER: 4865 <br /> ..... YALUA'{'ION~ $9.,9,45.OQ ...... <br /> <br /> ' 5 AC YF_;5~ N~ <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO= <br /> <br />CONTRACTOR, NO. 35348 <br />RONAL0 GENE RDBINSON <br />1220 NE ll'FB AVE <br />CANDY 97013 <br /> <br /> I'rEN <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE ~URCHARfSE <br />ZONIN~ ECJRCHARGE <br /> <br /> 30917 <br />ARCHi'FEC'['/~I~GINEER, NO, <br /> <br />PHON E: <br /> <br />TOI'ALAB,S~O <br />PRE¥iOOS R~EIP'rS <br />THiS R~CEiPT <br /> <br />[~XJAN T I l'Y <br /> <br />52.35 <br />$4.03 <br /> <br />[~40.89 <br />140.89 <br /> $0.00 <br /> <br />BALANCE DUE $0.00 <br /> <br /> RECEIVED ~Y: P[~ TYPE: CHECK ~: 0 <br /> <br />* ~HiS iS A VALIO PERMIT * THiS PERMIT ~XPiRE~ 180 OAY~ FROM iTS 15,SUE DATE. iF <br />CONSTRUCTION CEA,S~ ~R APERiOO OF 1BO DAYS, OR iF CONSTRUCTION FAILS TO NEET ALL <br />REQUIREMENTS OF STATE LA~SANDMARiON ~'OUNTY BUILDING AND ZONING OROiNANCEZS, THIS PE~IT <br />~iHALL BECXi~ME NULL AND VOiO, <br /> <br />~EI'BACK~: FR 20 LS / RS 10 RR 30 SP <br />REMARKS: ADDING 1 BEDROOM'"'& BATH .... R~t?2E8 ..... <br /> <br />HEIGHT: TOI'ALE~ F']': <br /> <br />DONALD E. ~DODLEY. ¢~,RiON OOUNTY ~UiLOING OFFICIAL / BY <br /> <br />PLJ~W. ACT ION: ~~ <br /> <br />ffORM # MC I t~-56 REV. 4/1~0 OFFICE COPY <br /> <br /> <br />