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Permit - 1264250
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Permit - 1264250
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Entry Properties
Last modified
2/10/2011 1:22:07 PM
Creation date
9/2/2003 1:14:12 PM
Metadata
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Template:
Permits
Permit Address
645 OAK ST
Permit City
Aumsville
Parcel Number
082W25AD12300
Permit Type
Permit
Permit Site Number
2956
Permit Doc Type
Permit Document
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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 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />of a regmtered builder <br /> <br />SIGNATURE OF APPLICANT <br /> <br />OWNER <br /> <br /> JORDAN, DOUGLAS <br />SITUS ADDRESS <br /> <br /> 645 OAK ST <br />AUMSViLLE OR 97'325 <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br />~AUMSVILLE <br /> <br />5-N <br /> <br />NO <br /> <br /> RES I L).EN i L AL <br />OCCUPANCY <br /> <br />NO 0r BEDROOMS <br /> <br />MAILING ADDRESS R~5IDENtJ. AL ACCESSORY S'fRUCfURE5 SUBDIViSiON <br /> <br />WILDWOOD ADDN ~2 <br /> <br />PO BOX 661 <br />AL.IMSVILLg OR 97325 WK~789-6333 <br />PHONE: '749-1406 5iIE NUMBER: 2956 <br /> VALUAIION: $1,400.00 <br /> <br /> 10 2 25 85 2W NS <br /> !5 95 ?i25. 5F NC NO <br /> <br />YYPE: BUiLDiNG PBRMiF OR APPLICAFION NO: <br /> <br />CON 1RACTCR, NO_ <br />JOROAN, DOUGLAS <br />Pt2 BOX 861 <br />AUM~ViLLE OR 9?325 <br />PHONE: '/~9- 1406 <br /> <br />WK,'Z5 <br /> <br /> 9036445 <br />ARCHI'IECT/ENGiN~gR, NO. <br /> <br /> I1EM QtJANIiTY AMOUNI <br /> <br />PLAN REVieW $1b,28 <br />~L.IILOING 5[A[~ SURCHARGE $l.18 <br /> <br />[ORAL A.SSE~ED FEES <br />PREVIOUS RECEIPT5 <br />rHI~ RECEIPT <br /> <br /> $9,00 <br />$39.98 <br /> <br />[¢ALANCE DUE $(]. U0 <br /> <br /> PA~EE~ JOROAN, DOUGLAS ^/f., 38374 <br /> .... ~¥PE: iN CHECK ~: 0 <br /> <br />FOLLOWING MUST ~ ~MPLB~ED. IF iS IH~ R~IBiLITY OF' TH~ APPLICANT lO A~SURtZ THaT <br />ALL N~C~SARY INPOR~AlJ~ HA~ BEEN PROV~OEO+ <br /> <br />SEPTIC; 8Y DATE <br /> <br />ZONING: BY CATE <br />REMARKS: RESCA~RT <br /> <br />H~iGHT: 8 TOTAL 5Q F~: 280 <br /> <br />CiTY JURiSDICTiON: BY DA'lB <br /> <br />RR 20 LS 5 R~ 5 RR.b 5P <br /> <br />AdTORiE5: 0 PLAN <br /> <br />OFFICE COPY <br /> <br /> <br />
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