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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO. 225 <br /> ~ 220 HIGH STREET NE <br /> ,iL SALEM, OREGO.N 97301 <br /> <br /> PHONE 588-5147 ~///~ <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A,M, <br /> <br />I om a registered builder OR the authorized represen ~ Jve S ~NATURE OF ^PPL CANT~ <br />I am performing work on a property I own or occupy, ' <br /> <br />of a registered builder. · ..... I,/- · <br />'The work will be performed by a registered builder. <br /> <br />I have reed 8nd 8gree to the terms stated on the reverse side of DATE <br /> <br /> TIME: 11:28:48a <br /> TAX LOT; ! D~'rEGoRy: <br /> 81350-000 RESIDENTIAL <br /> <br /> R3 <br /> OR 97325 ~ ~ ?CCU*A~T LOAD: <br /> <br />SINGLE F~I LY. ~LZN~ 3 <br /> <br /> Pgs document. <br /> <br /> DATE: 08//21/87 <br />OWNER: <br /> OALKE, DAVID <br /> <br /> 9824 WEST STAYTON RD <br /> AUt~VI LLE <br /> <br /> SAMEA <br /> <br /> PHONE: <br /> <br /> SITE NUMBER: 2289 <br /> VALUATION; $51,054.00 <br />§EOTiCNi .... ,! ~O~V N ~'~i~i ...... ......... 'i ..... ZONE: ;MAp <br /> <br />AREA: '~ UNITS: ' IRREG. LOT] ! CORNER: <br /> 2.00000 i AC ~ NO ¢ NO <br /> <br />TYPE: BUILDING PEFC4ZT OR APPLICATION NO: 9003930 <br /> <br />CONTRACTOR, NO. 53476 <br />SUNRISE INVESTMENTS <br />PO 8OX 55 <br />TUPJ'4ER, OREGON 97392 <br />PHONE: 743~2131 <br /> <br />ARCHITECT/ENGINEER, NO, <br />PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PI_AN REVIEW <br />FLEET SURaHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />QUANTITY AMOUNT <br /> $289.00 <br /> <br /> i14,45 <br /> 14.45 <br /> <br /> :PREV;[OUS RECE,I!pTS:, $0- 00 <br /> $509.59 <br /> TH]:S;RECE~,P% ', : , <br /> i ::::,, o0 <br /> <br /> PAYEE: ;~UNRISE INVESTMENTS : ;.-,.,: :' ~ . ' 4495 <br /> RECEIVED BY, J8 __~~_ aK' CHECK ~: ]S21 <br /> THIS [S NOT A PS.IT. H[S <br /> FOLLOWING MUST BE ~PLETE0~ ~ IS ~E RES~SIBIE~'0F':THE APPLICANT TO A~URE THAT <br /> ALL NECESSARY INFOE~TION HAS 'BEEN" <br /> <br /> E~ARKS; RES. ' <br /> HE~GHT,~ ff~ ~-¢ TOTA~~¢~ FT: 2424 ~ STOR,ES:/o~~ 2 PLAN. ACTZON, ~.~ <br />FORM" M(;~556 'EV 6/87 OFFICE COPY : <br /> <br /> <br />