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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> _. F~HONE 588-5147 <br /> CO~,~-A-PHONE 430 RM - 8 00 AM <br /> <br />DAT~'~ d~e~/89 TIME: 9.+14:19p <br /> <br />OWNEn DORAN, TOM <br /> <br />TAX LOT 9004-060 <br /> <br />RESIDENTIAL <br /> <br /> 885 9TH ST <br />AUMSVILLE <br /> <br />OR 97325 <br /> <br />USE OF BUILDING <br /> SINGt. E FAMILY DWELLINGS <br /> <br />MAILING ADDRESS <br /> PO BOX 185 <br /> SUBLIMITY OR 97385 <br /> PHONE; ?69-?364 <br /> <br /> CONSTRUCTION TYPE 5-N <br /> <br />ALfCL~=C~E~¥ u~B NO <br /> <br />SUBDIVISION DEL MAR III <br /> <br /> SITE NUMBER: <br /> VALUATION; <br /> <br />OCCUPANCY R-3 <br /> <br />OOC, UPA NT LO~,D <br /> <br />6385 <br /> $32,500.00 <br /> <br />LOT BLOCK SECTION <br /> ? 4 <br /> <br />W)0TH 74 D~PTN 104 AREA <br /> <br /> ~5 TOWNSHIP 8S ;~ &NGE 2W ZONE <br />7698.00 UNITS SF ~RREG LOT NO OOHNEHNO <br /> <br />RS MA~ 51 <br /> <br />CONTRACTOR, NO. 55493 <br />TOM DORAN <br />PO BOX 185 <br />SUBLIMITY 9?385 <br />F~tONE: 769-7364 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE: TOM DORAN <br /> <br />ARCHITECT/ENGINEER. NO. MULTI <br />MULTI/q-EON <br />1155 13TH ST SE <br />SALEM OR 97302 <br />PHONE: 363-9227 <br /> <br /> QUANTITY AMOUNT <br /> $206+50 <br /> $134.23 <br /> $3.84 <br /> $10.33 <br /> <br />TOTAL ASSESSED FEES $354_90 <br />PREVIOUS RECEIPTS $0.00 <br />THZS RECEIPT $354.90 <br /> <br />BALANCE DUE $0.00 <br /> <br /> ..~;~~ 14416 <br />RECEIVED BY: P8 TYPE: IN CHECK ~; 0 <br />~ THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PRC, CESS tAHERE THE <br />FOLLOWING MUST BE COMPLETED+ IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORfCCNTION HAS BEEN PROVlDED+ <br /> <br /> CITY JURISDICTION= BY ........ BATE <br />SEPTIC: BY DATE <br />ZONING*. BY ......... DATE ......... SETBACKS= FR-20 LSd5 RS~5 RR-5 SP- <br />REMARKS= NEW RES <br />HEIGHT: 14 TOTAL SQ FT: ~328 STORIES: 1 PL,~N.ACTION; <br /> <br />~O~MClS~ ~ ,1'~ OFPICE COPY <br /> <br /> <br />