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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 <br />CODE-A-PHONE 4:30 P,M, - 8;00 A.M, <br /> <br />I am a registered builder OR the authorized representative <br /> <br />The work will be performed by a regislered buiIder. <br />Other <br /> <br />SIGNATURE OF APPLICANT: <br /> PATE; <br /> <br />t~,7~LF~ 01/25/90 TINE: 13.-23:'08 <br /> <br /> 7AHRADN I K, STEVE <br />SITUS ADDRESS <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE' <br /> <br /> CONTRACT CITYI 5""'Mi' UGB <br /> <br />KE]:Z-ER ................. NO ' <br /> <br /> 578 PALMER DR <br />KEIZER OR 9?302 <br /> <br />MAIL'NC ADDRESS.SINGLE FAMILY B~ELLINGS <br /> <br />573 ROC~D ST SE <br />SALEM OR 9?306 <br />PHONE: 378'-741' f,,,OEOM~~ <br /> <br />LOT 3LOOK. SECTION: TOWNSHIP: <br /> <br />CATEGORY <br /> <br /> REGI DENTIAL <br /> <br />OCCUPAN~r~AB <br /> <br /> 5 <br /> <br />· r4CNAR¥~...ES~ATF~ PN~5 <br /> <br />70 100 7000. SF <br /> <br />SITE NUIVEI ER .+ <br /> VALUATION <br /> RANGE <br /> <br />9258 <br /> <br />CORNER <br /> <br /> NO <br /> <br />TYPE: BUILDING PER~IT OR APPLICATION NO: <br /> <br />CONTRACTOR NO. <br />ZAHRABNIK, STEVE <br />673 ROCKNOOD ST SE <br />SALEM, OR 97306 <br />PHONE; 378-7411 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />CURB DRIVENAY, BUILDING INSPECTION <br />CURB DRIVEWAY, PUBLIC NORKS <br />FLEET SURCHARGE -ZONE 1 <br />BUILDING STATE SURCHARGE <br />ZONING .~¢JRCBARGE <br /> <br /> 21424 <br />ARCHITECT/ENGINEER, NO, <br /> <br />QUANTITY <br /> <br />PAYEE: <br />RECEIVEO BY: DM <br /> <br />TOTAL AS~E~EDFEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />A~DUNT <br /> $450.50 <br /> $292.83 <br /> ~0.50 <br /> 7.00 <br /> $1.28 <br /> ~22.53 <br /> 22.53 <br /> <br />$797.17 <br />$797.17 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> .............. --- TYPE: CHECK .~: 0 <br />:¢ THIS IS A VALID PERMIT * THIS PERMIT EXPIRES 180 DAYS FROM ITS I,%..SUE DATE. IF <br />CONSTI~JCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br />REQUIREMENTS OF STATE LAMS AND MARION COJNTY BUILDING AND ZONING ORDINANCES, THIS PERt4IT <br />SHALL BECOME NULl- AND VOID. <br /> <br />SETBACKS: FR_20 LS_5 RS_5 R~ SP <br />REMARKS: NEW RES & D/9~ R:it6753 ,~ ¢ , ~ <br />HEIGHT: TOTAL ~ FT; 4284 S~S: 2 PLAN.ACTI~: <br /> <br /> <br />