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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br />PHONE 588-5147 <br />CODE-A-PHONE~4:3O P'M, - 800 AM <br /> <br />Other <br /> <br /> I have read and agree to the terms s~ated on the reverse side of <br /> <br /> EliTE: 05/28/8? TIME; 12;45:42p <br /> <br />OWNER MIR, JANES <br /> <br />SITUS ADDRESS <br /> <br /> 7727 ~E~ RD SE <br /> AU~VILLE OR 97325 <br /> <br />SINGLE FANILY D~IELLINGS <br /> <br />PHONE= 749-1339 <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> CONSTRUCT:ON TYPE <br /> CONTRACT CITY <br /> <br />5-N <br /> <br />BUBglVlSION <br /> <br /> STTE NUI~BER: <br /> VALUATION: <br /> <br />I. O3 BLOCK BECTION <br /> <br /> TOWNSNIP RANGE ZONE <br />28 8S 1N <br /> <br />CATEGORY R <br /> <br />OCCUPANCY <br /> R-3 <br /> <br /> OCCUPANT LOAD <br />N <br /> <br /> NU 0~ BEDROOMS <br /> <br />1501 <br /> $20~160.00 <br /> <br /> MAp <br />AR 48 <br /> <br />1 * 55000UNITs AC IRREO LOT N CONNER N <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO. <br />MAIR, JANES <br />SANE <br /> <br />PHONE: ?4g-133g <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVI E~ <br />FLEET SURCHARGE -ZONE 3 <br />STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE: I~tAIR, JANES <br /> <br />RERNIT OR APPLICATION NO: <br /> <br /> 9002379 <br />ARCHITECT/t~NGINEER, NO. <br /> <br />PHONE= <br /> <br />~UANT~TY <br /> <br />TOTAL ASSEF&SED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />ANOUNT <br /> $146.50 <br /> $95.23 <br /> $3.84 <br /> ~5.86 <br /> 7.33 <br /> <br />$258.76 <br /> $o,oo <br />$258.76 <br /> <br />PLAN REVIEW: BY <br />SEPTIC: 8Y <br /> <br />BALANCE DUE $0.00 <br /> <br />DATE ......... <br /> <br />INVOICE NO: 28?3 <br /> 200 <br /> <br />RECEIVED BY: c] ..................... ~ ..... TYPE: CK CHECK <br /> <br />* THIS IS NOT A PER~IT+ THIs APPLICATION MUST GO/I:HROUGH A REVIE~ P~ I~IERE ~HE <br />FOLLOWING i~JST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLIQ~NT TO ASSURE THAT <br />ALL NECESSARY INFOi;~ATION HAS SEEN PROVIDED. <br /> <br /> CITY JURISDICTION: 8Y <br /> 0A <br /> <br />RE~4AR~: BED & BATH ADD ii <br />HEIGHT: 12 TOTAL SQ F'q¢.~ 872 STORIES.' I PLANN.JNG ACTION.' <br /> <br />OFFICE COPY <br /> <br /> <br />