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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 $88-$147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE: <br /> <br /> 08/23/:89 TINE: 12:50~00p <br />$~Tus ^DDRESSI")ORAN ~, TOM <br /> <br /> 955 CHERYL <br /> AUH~VI LLE OR 97325 <br /> <br />MA~UN(~ADDRESS: SINGLE FAMILY DWELLINE~ <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769-7354 <br /> <br />SECTION: <br /> <br />WIDTH: 3 DEPTNI 3 AREA: 25 <br /> <br />77 97 <br /> <br />TAX LOT: <br />CO~S'r~OOT~ON '¢Y¢,~: 90061--191 <br />CONTRACT CITY: ~tt~: <br />/~JMSVI LLE NO <br />SUSOIVISION: <br /> <br />8S <br /> <br /> ~I LDON II <br /> <br /> SITE NUI'flBER; <br />RAN<~ALUATION: ZONE: <br /> <br />~RREG. LOT: 2W CORNER: <br /> YES <br /> <br />OCCUPANCY: RESIDENTIAL. <br />OCCUPANT LOA~R--3 <br /> <br /> 7680 <br /> $35~80.00 <br /> <br /> RI 51 <br />NO <br /> <br />3 <br /> <br />TYPE: BUILDING PEI:~4IT OR APPLICATION NO= <br /> <br />16963 <br /> <br />CONTPJ~CTOR, NO. 55493 <br />TOM EX)RAN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: 769-?364 <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEN <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />qUANTITY <br /> <br />'TOTAL.AE~ED FEES <br />-PREVZOUS .RECEIPTS <br /> THIS RECEIPT <br /> <br />AMOUNT <br /> ~220.00 <br /> 143.00 <br /> $~.84 <br /> $11.00 <br /> <br />$377.84 <br />$377.84 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: <br />RECEIVED BY: PB ~YPE~ CHECK <br />· THIS IS A VALID PERMIT ~ ~3H,IS',PE~R~IT,EXPIRES,'~80 BAYS',FROf4 I~S-ISECJE <br />CONSTRUCTION CF_~ES FOR A',~ERI~,i,'O~ ~EO,:,,OAYS> OR;IF CONSTRUCTION FAIL~ TO ME~T ALL <br />REQUIREMENTS OF STATE LA~ AND'IvlA~ION,',C(~0N~Y BUILDING, AND ZONING ORDINANCES. THIS PERMIT <br />SHALL BECOME NULL AND VOID:. ,!,,7,,',:>,o .... ', <br /> <br />SETBACKS: FR-20 LB-5 RS-5',RR~5 <br /> <br />RSVtARKS: NEW RES <br />HEIGHT: 14 TOTAL SQ FT: 1440 sTORI~: 1 <br />D~ALD E. ~DL~, ~R~ ~N~ BUILD~'NG OFFICIAL / <br /> <br />OFFICE COPY <br /> <br />PLAN.ACTION: <br /> ,/3? <br /> <br /> <br />