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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, - 6:00 A,M, <br /> <br />I am performing work on 8 property I own or O0oupy. <br /> <br />The work will be performed by a registered builder. <br /> <br /> I have read and agree to the terms stated on tde reverse side of <br /> <br />DATE: !0/12/87 TIME: 11:24:'5a <br /> HORTON, INDA <br />SITUS ADDRESS' <br /> <br /> 915 NO. '7TH ST <br />AbMSV I LLE OR <br /> <br />....... ~,LIMSN'Z2.. _E <br /> <br />DATE: <br /> <br />CATEGOR <br /> qES <br />OCCUPANCY <br /> R3 <br />OCCUPANT <br /> <br />5tNGLE FA~iiLY DWELL. BNGS <br /> <br />SU BDIVIglOH <br /> <br />DEL ¥~Am ADDR 2 <br /> <br />PO 8OX 753 <br />,,~.bMSV Z LLE <br />PHONE: SITE NUMBER: <br /> VALUA1- ION: <br /> <br /> ? 25 SS 2~ <br /> ]O5 '40 <br /> <br />ZONE MAC' <br /> RS 5~ <br />CORNER: <br />NO <br /> <br />'TYPE: 6U I LD.t N*.~ <br /> <br />CONTRACTOR, NO. <br />HORTON. LINOA <br />PO 8OX ?63 <br />AUMSV I ~-.t <br /> <br />PERMIT OR APPLICATION NO: 9004948 <br /> <br /> ARCHITECT/ENGINEER. NO- <br /> <br /> ITEM <br />BUILDING FEE <br />PL/~ REVIEN <br />PLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />PHONE: <br /> <br />THIS RECEIPT <br />BALANCE DUE <br /> <br />QUANTITY <br /> <br />AP~UNT <br /> $68.50 <br /> $44_53 <br /> $3_94 <br /> $3.~3 <br /> <br />20,30 <br /> <br />$0 0 C: <br /> <br />PAYEE: HORTON. LINDA ~' 5510 <br />RECEIVED BY,' DM TYPE; CHECK ~; O <br /> <br />~ TH!S IS NOT A PERMIT. THIS ' <br /> AFP~.ICAFION 1'4JST, ,GG:~,T'HRQUSH A R'EVIEN PROCESs WHERE THE <br />FOLLOWING ~US'T' SE COHRLETE0, ?T IS THE, RE~PoNStBILI.TY OF ,THE APPLICANT TO .~,,~o~ RE THAT <br />ALL NECESSARY INFORMATION HAS SEEN PROVIDED., <br /> <br /> C~.,,Y JURiSDICTiON: BY DATE <br /> <br />SEP'FIC ~ BY DATE <br />7,.c?N I NG -' ECY 0ATE <br /> <br />REMARKS: STORAGE ADDN TO RES <br />HEEGRT'; TOTAL SQ FT: <br /> <br />392 STORIES: i PLAN.ACTION: <br /> <br /> <br />