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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 PM - 8::00 AM <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />o~[~TE: 07/27/89 '~IME: 10:53:55a <br /> RICE, GARY RESI DENTIZ, L <br /> <br /> 5-N <br /> 7~50LNEY S7 CONTRACT CfTY UGB OCCUPAN~ LOAD <br />AUMSV ~ LLE <br />us~ o¢ aU,t.O,N~ AU~VI LLE <br /> <br />OR 9?325 <br /> <br />SINGLE FAMILY DWELLINGS <br /> <br />NO <br /> <br />NO OF BEDROOMS <br /> <br />SUBDIVISION <br /> <br />PARCEL ~2 <br /> <br /> PO BOX 29O <br /> AUMSVILLE OR 97325 <br /> PHONE: 749~2578 SITE NUMBER: 7929 <br /> V <br /> $40,?48_0O <br />LOT BLOCK SEOTION TOWNSHIP R^NOEALUAT ION = ZONE MAP <br /> <br /> 25 UNIT~ 8$ IRREGLOT 9W OORN~H ~ 51 <br /> <br />8800.00 SP NO NO <br /> <br />80 110 <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO, <br />RICE, <br />PO BOX 290 <br />AUMSV~LLE OR 97325 <br />PHONE: 749~,2576 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br /> 9017704 <br />ARCHITECT/ENGINEER, NO. <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> I242,50 <br /> 157_63 <br /> $3.84 <br /> $12_~3 <br /> <br />$416. lO <br /> $o.oo <br />$,416_1o <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: STAY-FON REFRIGERATION ~/,///////,~¢ 18799 <br />RECEIVED 8Y: ~8 _ ¢L¢~_.,~¢;~,_ TYPE: IN CHECK ~: 0 <br /> <br />~ THIS IS NOT ~ PERMIT. THIS APPLICATION Iv~JST GO THROUGH A REVIEN PROCESS WHERE THE <br />FOLLOWING MuST BE COMPLETED. [T IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />SEPTIC; BY DATE <br />~ONING: BY DATE <br /> <br />REr¢IARKS= NEW RES <br />HEIGHTr 15 TOTAL SQ PT: <br /> <br /> CITY JURISDICTION: BY ........ BATE <br />SETBACKS: FR-20 LS-5 RS-8 RR-5 <br /> <br />1495 STORIES: 1 PLAN_ACTION: <br /> <br />¢OR~ · ~c ~55e RE,, I1,~ OFFICE C'OP¥ <br /> <br /> <br />