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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 558-5147 <br />CODE-A-PHONE 4:30 PM - 8::00 A,,M, <br /> <br />lamaregisteredbuiMerOR( ) the authorized representative <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document <br /> <br />DATE <br /> <br /> F~HA <br />SITUS ADDRESS <br /> <br /> 930 LINCOLN ST <br /> AU~SvILLE OR 97325 <br />]USE OF ~UlLDING: <br /> <br /> 'fAX'LOT ~ CATEGORY I <br /> <br />I ..... 90081-251 ....... RESI DENT IAL <br />CONETRU~T(OR TYPE:: ODCUPANQ¥ <br /> <br />AUMSVILLE NO <br />~ENE,~l~lON ......... <br />..... <br /> <br /> 1655 25TH ST SE <br /> SALEM OR 97302 <br /> PHONE: 399-5751 <br /> <br /> ~ECTION <br />-eT IBLOOK <br /> <br />3 <br /> <br /> SITE NUMBER: 5822 <br /> VALUATION..: ......... $3,2.00.0~0Q .... <br /> RANGE IZONE IMAP <br /> <br /> ~DEPTH iAREA UNITS:" BS 'i~'~G LOT2~ iCORNeR 51 <br />8.7. i 9~ SF YES. I. NO ' <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: 9012032 <br /> <br />CONTRACTOR, NO. 9891 <br />OREGON HOUSING & ASSOC. <br />1395 LIBERTY ROAD SE <br />SALEM, OREGON 97302 <br />PHONE: 585-6193 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />ARCHITECT/ENGINEER, NO. POOL <br />DAVID G. POOL <br />8493 DORAL DRIVE SE <br />SALEM, ORE 97302 <br />PHONE: 363~036L <br /> <br />QUANTITY <br /> <br />TOTAE ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT <br /> $202.00 <br /> 131.30 <br /> $3.84 <br /> $10.10 <br /> <br />$347.24 <br /> $o.oo <br />$347.24 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: OREGON HOUSING & AS,SOC. SERVICES /~///// 12778 <br />RECEIVED 87' PS - ,..~¢'~_~ TYPE IN CHECK ~: 3413 <br /> <br />~ THIS ~S NOT A PERMIT. THIS APPLiCATiON F~JST GO THk-'<:)U~ A REVIEW PROCESS WHERE THE <br />FOLLOtNING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECES~,RY INFORMATION HAS BEEN PROVIDED. <br /> <br />SEPTIC: 87 DATE <br /> <br />ZONING; 8Y ......... DATE <br /> <br />REMARKS: NEW RES <br />HEIGHT: TOTAL SQ PT: <br /> <br /> cITY JURISDICTION: SY ........ DATE <br /> <br />SETBACKS= FR-20 LS-5 RS-5 PR-5 <br /> <br />t328 STORIES: 1 PLAN.ACTION~ <br /> <br />,o~ = uc ~ ~.~ ~.~= OFFICE COPY <br /> <br /> <br />