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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 />~ am performing work on a property I own or occupy. <br />I 8m a registered builder OR the authorized representative SIGNATURE OF APPLICANT; <br /> of a registered builder, <br />The work will be performed by a registered builder. <br />Other <br />I have read and agree to the terms stated on the reverse side of DATE; <br /> <br />USE O¢ BUILDING; <br /> <br />DATE: 09/17/87 TIME: 2:14:2812 <br /> <br /> POTTER, MONROE ~ RESIDENTIAL <br /> <br /> ~ 5N R3 <br /> 9224 ~AN ~ARE ~AD SE ['86~T Ui~; i' 5e~'. ~8CCU~ANT LOAm <br />~V[LLE OR 97325 ~RZ~ ~NTY N0 ~ <br /> <br /> S INGLE FAN I LY, D~ELLINGS <br />MAILING ADDRESS; r SUBDIVISION; <br /> <br />SADIE <br /> <br />~E; 362-6168 <br /> <br /> SITE NUMBER: 2038 <br /> VALUATION: $13, ?09.00 <br />SEcT(ON: <br /> iTOWNSHIP: RANGE; ~ ZONE: ~ MAP: <br /> 13 i 8S 2W r AR3 49 <br /> AREA: : UNITS: IRREG, LOT: : CORNER; <br /> ~ ; NO NO <br /> <br />TYPE= BUILDING PEI:~4IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 28326 <br />ORE]v~RC COMPANY INC <br />711 SW ALI~BB._..E4~TE 211 <br />~RT~ ORE~97206 <br />~ 222-2851 <br /> <br />8U ~LD~NG FEE <br /> <br />FLE~ ~A~E <br />BUILOIN6 STATE <br />Z~ING <br /> <br /> 9004420 <br />ARCHITECT/ENGINEER, NO. <br /> <br /> TOTAE ASSEE~ED~'::FEES <br /> PREVI OU~ REOEIPTS <br />./THIS. RECEI'PT <br /> aA CE <br /> <br />(~J$~TITY <br /> <br />A~OUNT <br /> $104.50 <br /> $67.93 <br /> $3.84 <br /> ¢5.23 <br /> 5.23 <br /> <br /> $0.00 <br />$196.73 <br /> <br />$0.00 <br /> <br />PAYEE: ORB'4ARCCONPANY INC ~ ~ 4981 <br />RECEIVED BY- JB __--~~-~-~,-~ TYPE-::OA"~CHECK ~- 0 <br /> <br />~ THIS IS NOT A PERMIT. THIS ~ A REVIEW PROCESS WHERE THE <br />FOLLOHING MUST BE COMPLETED. :ITIS THE RESPON$IB~L:~'OF iTHE'APPLICANT TO ASSURE THAT <br />A NE,LL ECE88ARY INFORtflATION HAS BEEN PROVIDED:,:~.; <br />: :: ;: <br /> <br /> i: CITY JURISDICTION: BY DATE ...... <br />SEPTIC: 8Y DATE_. . i; <br /> <br /> SETBACKS:: FR~: LS-____ RS-____ ER-____ SP-____ <br /> <br />ZCt4ING: BY DATE <br /> <br />REMARKS~ FIRE REPAIR <br />HEIGHT: TOTAL SQ FT: <br /> <br />0 STORIES: 1 PLAN.ACTION: <br /> <br />OFFICE COPY <br /> <br /> <br />