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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-$147 <br />CODE-A-PHONE 4::30 PM - 8::00 AM <br /> <br />I am performin9 work on a property [ own or occupy <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br />OWND~TE: 07/24,/89 TIME: <br /> SUTTEE, RALPH <br /> <br />7:58:39a <br /> <br /> 910 9TH ST <br />AUIV~VILLE OR 97325 <br /> <br />USE OF BUILDING <br /> <br /> TAX LOT CATEGORY <br /> 90040-1 ?0 RESI DENT IA~. <br /> <br /> 5-N R-3 <br />AUt'4SV I LLE NO <br /> <br />SINGLE FAMILY DWELLINGS <br /> <br />FO 8OX 12533 <br />SALEM OR 97309 <br />PHONE: 585-29?3 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br />DEL MAR ~3 <br /> <br />SITE NUIVlBER: 7883 <br />VALUATION: $31,000.00 <br /> <br />3 <br /> <br />4 5 25 88 2W RS 51 <br /> 74 100 7400.00 SF NO NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO; <br /> <br />CONTRACTOR. NO. 43505 <br />RALPH BUTTER <br />PO BOX 12533 <br />SALEM 97309 <br />PHONE: 588-23?3 <br /> <br /> ITEM <br />BUlL. DING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br /> 90175?8 <br />ARCHITECT/ENGiNEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $197_50 <br /> $128,38 <br /> $3.84 <br /> $9.89 <br /> <br />$339.60 <br /> $0.00 <br />$339.50 <br /> <br />BALANOE DUE $0.8o <br /> <br />PAYEE: RALPH BUTTER ~ + 18683 <br /> <br />* THIS IS NO'~ A PERMIT. THIS, APPLICATION MUST GO THROUGH: A REVIEW PRGC~ WH~RE THE <br />FOLLOWING MUST BE COMPLETED. 'IT 'IS THE RESPONSIBILITY OF THE ~PPLICANT TO ASSURE THAT <br />ALL NECESSARY [NFORF1ATION HAS BEEN PROVIDED. <br /> <br />SEPTIC= BY ............... DATE <br />ZONING: BY DATE <br /> <br />REFIARKS: NEW RES <br />HEIGHT: 14 TOTAL SQ FT: <br /> <br />CITY JURISDICTION: BY <br /> <br />SETBACKS: FR',.-'20 LB-5 <br /> <br />1328 STORIES: 1 <br /> <br />DATE <br /> <br />RS-5 RR-5 <br /> <br />PLAN.ACTION; <br /> <br />FORM ~¢ MC 16-56 REV ll.[~iJ OFFICE COPY <br /> <br /> <br />