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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 925 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 800 AM <br /> <br /> I am performing work on a property I own or occupy <br /> ~ am a registered bu~der OR the authorized representative <br /> of a reg{stered builder <br /> Tho week ¢¢ill be performed by a registered builder <br /> Other <br /> I have read and agree to the terms state¢ on the reverse side of <br /> <br />DATE: 08/01/89 TIME: 12;57;53p <br /> OORAN, TOM <br /> <br /> 925 9-EH <br />A, DMSVI LLE OR 9?325 <br /> <br /> 90040-020 RES; DENT IAi_ <br /> 5-N <br />ALiMSV I LLE NO <br /> <br />NO O? BEDROOMS <br /> <br />MAILINGADDRE$$ SINGLE FAMILY DWELLINGS <br /> <br />PO BOX 188 <br />'~UBLIMITY OR 97385 <br />PHONE: 789-~7384 <br /> <br />3 4 25 <br /> ] ]0 <br /> <br />OEL MAR III <br /> <br /> SITE NUMBER; 7898 <br /> VALU.~T I ON: $39, ?00.00 <br /> <br />8S 2N RS 5 ! <br />SF YES NO <br /> <br />TYPE: BUILDING PEF4"4IT OR APPLICATION NO: <br /> <br />CONTRACTGR, NO, 55493 <br />TOM DORAN <br />PO BO)( <br />SUBLIMITY 99388 <br />PHONE: ?89-7364 <br /> <br /> TTEIv! <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE~ <br />RECEIVED BY; PB <br /> <br />17610 <br /> <br />ARCHITECT/ENGINEER, NO. MULTI <br />MULTI/TECH <br />1155 13TH ST SE <br />SALEM OR 9?302 <br />PHONE; 363~9297 <br /> <br />OUANT I TY <br /> <br />:TOTAL ,ASS~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />,&MOUNT <br /> I238,,00 <br /> 164,70 <br /> $3,84 <br /> $11-98 <br /> <br />408.44 <br />408.44 <br /> <br />BALANCE OdE $0,08 <br /> <br />CHECK <br /> <br />* 'HIS IS A 'VALID PERMIT ~ ~I~'S';::P~R~T EXPIRES 180 BAYS FROM ITS ISSUE 0~TE. IF <br />CONSTRUCTION CEAoES FOR A ,~E~,QD!ECF,~BS ,DAY~¢:OR IFCONSTRUCTION FAILS TO MEET AL <br />REOUIREMENTS OF STATE LAWS A~0:~:f'4AR[ON~C, OMNTY BUILDING AND ZONING OROZNANCES 'THIS PERMIT <br />SHALL BECOME NULL AND VOI~, <br /> <br />,~ETBAuK,=: FR-20 LSd5 RS-5 RR-5 <br /> <br />REMARKS; NEW RES <br />HE!GHF: 14. TOTAL_ SQ ET: 1554. STORTES: <br /> <br />13ONALD E, NOODLEY, MARION COUNTY BUILDING OFFICIAl_ / SY <br /> <br />PLAIN. ACT I ON: <br /> <br />iRM,MO~S.$s REV ill~ OFFICE COPY <br /> <br /> <br />