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MARION COUNTY BUILDING INSPECTION <br />SENATOR 8LDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM~ OREGON 97301 <br /> <br /> ,, PJWONE 588-5147 <br />CODE-A-PHONE 4:30 RM. - 8:00 A.M. <br /> <br />Other __ <br /> <br /> this document, <br /> DATE: 06/20/89 TIME: <br />OWNER: <br /> 8,ANDY, RICHARD <br /> <br />SITUS ADDRESS: <br /> <br />3;53:21p <br /> <br /> 9194 SHAW SQUARE RD · SE <br />AUMSVILLE OR 97325 <br /> <br />SINGLE :FANILY D~ELLINGS <br /> <br /> TAX LOaf CATEGORY <br /> RESIDENTIA[ <br /> <br /> CONSTRUCTION TYPE: OCCUPANCY; <br /> 5-N R-3 <br /> <br />MARION CCUNTY NO <br /> <br />SUB01VISION: <br /> <br />PHONE: 363-6690 <br /> <br /> 13 8S <br /> 8. 90000 AC <br /> <br />SITE NUMBER: '/653 <br /> YALUATION ~ $11,518.00 <br />RANGE; ZONe: MAP: <br /> <br /> ¢'N AR 49 <br /> NO NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 46195 <br />NARNER. SAM <br />13480 WOODLAND LANE'SE <br />TURNER, OR 97392 <br />PHONE: 789-7101 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIE~ <br />FLEETSUI:~HARCE -ZONE 3 <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE= 8ANDY, RICHARD <br />RECEIVED BY: cl -- <br /> <br />~ THIS IS NOT A PEF~IIT. T~I~ <br />FOLLONING ~UST 8E CONPLET~D.~? <br />ALL NEC~ INFO~TI~ <br /> <br />PLAN REVIEW: BY___~ - <br /> <br /> 9016880 <br />ARCHITECT/ENGINEER; NO. <br /> <br />PHONE: <br /> <br />TOTAD.iA,SE, ESSED FEE~ <br />~REVI~US RECEIPTS <br /> RECEIPT <br /> <br />.8ALANCE BUE= <br /> <br />~UANTITY AMOUNT <br /> $92.50 <br /> $60.13 <br /> , $3.64 <br /> 4.63 <br /> 4.83 <br /> <br />$155.73 <br /> $0,00 <br />$16~.73 <br /> <br />$0.00 <br /> <br /> 17952 <br />,CHECK ~: 2481 <br /> <br />PROCESS ~ERE THE <br /> CANT TO AS, SURE THAT <br /> <br />CITY JURISDICTION: BY .... DATE~ <br /> <br />SEPTIC: BY ..... DATE__ <br /> O" <br />ZONING: BY t)~-.~ DATE SETI3ACKS~. FR-~J.) ': RS- RR-~ SP~ <br /> <br />RE~[AR~: ATTACHED ADDTION <br />HEIGHT ~+ 12 TOTAL ~FT=i 988' ~TORI=ES'+~ :PL~,N, ACTION: <br /> <br /> ?r ~or <br /> OF~C~ COPY <br /> <br /> <br />