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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 430 PM - 800 A,M <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE . <br /> <br />ow~fE: 07/24/89 T[ME~ 8:03~35a TA×LOT OAf6GOR¥ <br /> GUTTER, RALPH 90040-180 RESIDENTZAL <br />SITUS ADORESS CONSTRUCTION TYPE OOCOPANC¥ <br /> <br /> 5-N R-3 <br /> g0o 9TH ST GONTRACTCITY UG8 OCCUPANTLOAD <br /> AUMSVILLE OR 9?$25 <br /> AUHSVILLE NO <br /> <br />MAILINGADD~S$ SINGLE FAMILY 0WELLINGS <br /> <br />PO BOX 12533 <br />SALEM OR 9?309 <br />~4ONE: 588-2373 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br />DEL MAR ~3 <br /> <br />NG OF RFCROOM5 <br /> <br />SITE NUMBER.' 7884 <br />VALUATION: $32, OOO. O0 <br /> <br />5 5 25 8S 2W RS 51 <br /> 74 100 7400.00 SF NO NO <br /> <br />TYPE: BUILDING <br /> <br />PERMIT OR APPLICAT[ON NO: <br /> <br />CD, TRACTOR, NO. 43505 <br />P, ALR4 SUT'TER <br />PO BOX 12533 <br />SALEM 97309 <br />PHONE~ 588~2373 <br /> <br /> ITF3~ <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />8UILOING STATE SURCHARGE <br /> <br /> 9017580 <br />ARCHITECT/ENGINEER, NO. <br /> <br />>NONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> ~202.00 <br /> 131,30 <br /> $3.84 <br /> $10.'~0 <br /> <br />$347.24 <br /> SO.OD <br />$347.24 <br /> <br />PAYEE: RALPH ~TTER ~ 18684 <br />RECEIVED BY: TYPE: IN CHECK ~: 0 <br /> <br />* THIS IS NOT A PEPJ~IT. THIS APPLICATION ~ST GO THROUGH A REVI~ PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />ALL NEC~ARY INFO~ATION HAS BEEN PROVIDED. <br />PLAN REVIEW: BY----------~¢2 DATE_7/~7.~_- <br /> <br />CITY JURISDICTION: BY <br /> <br /> RS-5 RR~5 SP~_~ <br /> PbAN.ACTION: <br /> <br />SEPTIC: BY DATE <br />ZONING.: BY .......... DATE ........ SETBACKS: FR-20 LSd5 <br /> <br />REMARKS: NEW RES <br />HEIGHT: 14 TOTAL SQ FT: 1412 STOR[ES: 1 <br /> <br />BATE_ <br /> <br />OFFICE COPY <br /> <br /> <br />