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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 /> Iarn performing work or] aproperty I own or occupy, <br /> I ara 8 rogistered builder OR the authorized representative <br /> of a registered builder, <br /> 'f'l)e work will be performed by a registered builder. <br /> Other <br /> f have read and agree to the terms stated on the reverse side of <br /> <br /> DATE; 09/22/8? TIr4E: 10:22:23a <br /> <br />OWNE.: RI ESTERER, DICK <br /> <br />SITUS ADDRESS: <br /> <br /> 902? SILVER FALl23 <br /> AUIVISVILLE OR <br /> <br />...... ~ ~A'X <br /> <br /> : CONSTRUCTION TYPE; <br /> ~ 5N <br /> <br /> 97325 i CONTRACT CITY; f '~l~'~: <br /> MARION COUNTY NO <br /> <br />O~EGORY: , ~L <br /> <br />OCCUPANCY; <br /> R3 <br /> <br />OCCUPANT LOAD: <br /> <br />SINGLE F.NVllLY D~ELLINGS <br /> <br />MAILING ADDRESS: <br /> <br /> SAi~IE <br /> <br /> PHONE: 964-2510 <br /> <br />t. OT BLOCK; <br />WIDTH: DEPTH; <br /> <br /> I SITE NUI~4B ER: 2606 <br /> VALUATION: $13,000.00 <br /> <br />i TOWNSHIP'. i RANGE; ZONE; MAR: <br />' 8S , 2[4 i AR 49 <br /> <br />AREA: 10.0000 iuNITs: AC IRREG, LOT; NO !COR~: <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO. <br />R;[ESTERER, DICK <br />SAblE <br /> <br />PEP, r4IT OR APPLICATION NO: <br /> <br /> 4522 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: 364-2510 <br /> <br />PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET EYJRCHARGE -ZONE 2 <br />8UILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />QUANTITY A~OUNT <br /> $98.50 <br /> <br /> $2-56 <br /> $4.93 <br /> $4.93 <br /> <br /> RECEIPTS $0-00 <br /> <br /> ' : :, :'.: $0.00 <br />PAYEE: RIESTERER, DICK ~ ' :: '~ '~ 5080 <br />RECEZVED BY.~ ....... , ~: 8138 <br /> <br />~NST~CT~ C~ POR A ;PER,OD OF 180 BA~ 0R ;TF:;'~S~OT~ FAZ~ TO NEET ALL <br />RE~RENENTS OF STATE LA~ ~D ~RZON ~NTY BUZLB:~NS'?~D,Z~ZNG ~BZN~CES THIS PE~T <br />~ALL BEdE NULL ~D VOID. <br /> <br />Z~ING: BY ~TE - ~ r: :~,=-';;' _ ......... SP-____ <br /> <br /> ~1 ~NTY BUILDING OFFICIAL / BY <br /> <br /> <br />