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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG, NO, 225 <br /> 220 HIGH STREET NE <br />: "~ SALI=Mi OREGON 97301 <br /> <br /> PHONE 588-$147 <br />CODE-A-PHONE 4:30 P.M, - 8:00 A.M, <br /> <br />o~,~T~: 07/06/88 TIME: 1:58:44p <br /> KAUFFNAN, ADRIAN & PEARL <br /> <br /> 19756 OLf~ST~D ROAD NE <br />AURORA OR 97002 <br /> <br /> TAX LOT: i CATEGORY: <br /> j RES:[DENTZAL , <br /> <br />NAR-ION, .69tJNTY-.. ,, Ne J <br /> <br />MAiLiNG ADDRESS: SINGLE FAMILY DWEL.LIN~ <br /> <br />PH©N E: <br />I O'r: BLOCK: SECTIONI <br /> <br /> 15.0000 <br /> <br />SITE NUI~SER: 4844 <br />VALUA~ION.~ $.a,Q.00O. 00 <br /> <br />TYPE: BU~LDJNG PERN~T OR APPLICATION NO: <br /> <br />CC~4TR~CTOR, NO. 52~04 .(\ <br />ALJETo CONSTRUCTION ~ <br />8480 ST PAUL HIGHWAY ~/ <br />NOGOBURN, OREGON 97071 . ¢/- <br />~ONE: 678-~172 ~1~~ <br /> ITE~ <br />8UILOING FEE <br />PL~ REVIEW <br />FLEET StJRC~ARGE -ZC~4E 5 <br />BUlL. DING STATE SURCHA~E <br />Z¢~ING SURCHARGE <br /> <br />PAYEE: ALJETS CONSTRUCTION <br /> <br /> 9009549 <br />ARO4ITEOT/ET4GINEER, NO. <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />TOTAL A~E~ED FEES <br />PREVIOJ3 RECEIPTS <br />THIS RECEIPT <br />8AL.ANCE DUE <br /> <br />AMOUNT <br /> $193.00 <br /> $125.45 <br /> <br /> $9.65 <br /> <br />$344.15 <br />$344.~5 <br /> <br />$0.00 <br /> <br />10222 <br /> <br />RECEIVED BY: DM ~FYPE; OK CHECK ~: 2589 <br />~ THIS IS NOT A PERMIT. T}4IS APPLICATI(~'4 ~tUST ~ TH~GH A ~IEW PR~ ~HERE THE <br />FOLLOWING ~tS]- BE CONPLETED. IT IS THE R~PONSIBIEI~ OF THE'APPLIQANT TO ASSUR~ THAT <br />ALL NECESSARY INFO~TI~ H~ 8E~ PROVIDED. ,: ' <br /> <br />PLAN REVIEW: DA <br /> CITY JURISDICTI~: BY ............. DATE <br /> <br />SEPTIC: DATE <br /> _ <br /> <br />R~&RKS: A~2NG K~TCHEN, SATH, OT~L~TY AND ~RA~ <br />HEIGHT: TOTAL, ~ FT: 980 STORIES: I PL~.ACTION: <br /> <br />,o,~ ,~ MC .~ ¢6 ~v ~.~ OFFICE COPY <br /> <br /> <br />