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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> PHONE ~588-5147 <br /> CODE-A-PHONE 4::30 P,M - 8::00 AM <br /> <br /> t am porforming work on a Droperty f o~r~ Or OCOuOy <br /> lam a eg~8letcdbu der OR : oauthorlzed representBbye <br /> of a reft s e ed budder <br /> The workwilibe po ormedbyareglsterodbuilder <br /> Other <br /> I have read F~r~d acjroo to the terms stated or~ the reverse ¢ide of <br /> <br />DATE= 12/05/89 TINE: 14=51:31 <br /> <br /> ST~)M, CHARLF-,~ <br /> <br /> 10323 MILL CREEK RD BE <br />AURSVILLE OR 97325 <br /> <br />USE OF BUILDING <br /> <br />OTHER NON-RESIDENTIAL BUILDINGS <br /> <br /> CONTRACT CiTY <br />MARIC~ [XDUNTY <br /> <br />UGB <br /> <br />PO~OX 757 <br />AUI~VILLE OR 97325 <br />PHONEs 769-6767 <br /> <br />LOT BLOCK SECTION TOWN~HIP <br /> <br />WIBTH DEPTH AF&EA~. ~ ~,. ,. ~ ,~ UNITS <br /> <br /> SITE NUMBER: <br /> VALUAT I ON: <br /> <br /> RANGE <br />8S 1N <br /> IRREG LOT <br />AC NO <br /> <br />CATFGORY <br /> RES I DENT I AL <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />NO OF BEDDr~oM~ <br /> <br /> 8964 <br /> $500.00 <br /> <br />ZONE MAP <br /> AR 48 <br /> <br />TYPE: BUILDING PE~IIT OR APPLICATION NO: <br /> <br />20591 <br /> <br />CONTRACTOR, NO. 1850 <br />RAZNBO~/ CONST, IHO. <br />365 23RD SE <br />SALEM, OREGON 97301 <br />PHONE: 362-5374 <br /> <br />AR(~ITECT/ENGINEER, NO. <br />PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEN <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />(~ANTITY <br /> <br />At4OUNT <br /> $10.00 <br /> 6.50 <br /> 3.84 <br /> 0_50 <br /> 0.50 <br /> <br />TOTAL A,..,~S~ FEES <br />PREVIOUS RECEIPTS <br />THIS REOEIPT <br /> <br />[21.34 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: <br /> RECEIVED BY.* PB TYPE: CHECK tt: 0 <br />~ THIS IS A VALIO PERNIT · ~-tiS PER~IT EXPIRES 180 DAYS FROM ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAY~, OR IF CONSTRUCTION FAIL~ TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />,~HALL 8ECONE NULL AND VOID. <br /> <br />SETBACKS= FR_20 LB_lO RS_4 RE,..4 SP <br />REN~RKS: RELOCATE PIGEON COOP R~63S4 <br />HEIGHT; TOTAL SQ FT~ 298 STORIES: 1 <br /> <br />DONALD E. ~OOOLEY, MARION COUNTY BUILDING OFFICIAL / 8Y <br /> <br />PLN~ .ACTION: <br /> <br />OFFJCECOPY <br /> <br /> <br />