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MARION COUNTY BUILDING INSPECTION
<br />SENATOR BLDG, NO, 225
<br />220 H~GH STREET NE
<br /> SALEM, OREGON 97301
<br />
<br /> PHONE 588-5147
<br />CODE-A-PHONE 4:30 RM, - 8:00 A.M,
<br />
<br /> /
<br />I ) I am a registerecJ builder OR the authorized represerltative
<br />
<br /> ) Other
<br />
<br /> DATE~ 06/22/89 TIME: 12~53:44p
<br /> OWN~n: DORAN, TON
<br />
<br /> 910 HAZEL
<br />AUMS¥ I LLE
<br />
<br />OR 97325
<br />
<br />USE OF BUILDING:
<br /> SINGLE FAMILY D~ELLINGS
<br />
<br /> PO BOX 185
<br /> SUBLIMITY OR 97285
<br /> PHONE: 769-7384
<br />
<br />10 5
<br />
<br />WIDTN: 70 DCPTHZ 115 AREA;
<br />
<br />IYPb: ~UiLUING' FERIVlil
<br />
<br />CONTRACTOR, NO. 55493
<br />TON DORAN
<br />PO BO>< 185
<br />.ECJBLIMITY 9?385
<br />PHONE: 769-7364
<br />
<br /> ITEM
<br />BUILDING FEE
<br />PLAN REVIEW
<br />FLEET SURCHARGE -ZONE 3
<br />BUILDING STATE SURCHARGE
<br />
<br />DATE:
<br />
<br />8120.00uN'zS;
<br />
<br />TAX LOT: 90061-461
<br /> 5--1'4
<br />
<br />RESI DENTIALt,,
<br />
<br />AUNSVILLE NO
<br />
<br />SUBDIVISION;
<br />
<br />GZLDO~ II
<br />
<br />OCCUPANFLOAD:
<br />
<br /> NOOF 6EDROOMB:
<br />
<br />SF
<br />
<br />SITE NUIV~ER:
<br /> VALUAT I ON:
<br />
<br />76?8
<br /> $35,500.00
<br />
<br />51
<br />
<br />IRREG. LOT; NO CORNERNO
<br />
<br />ARCHITECT/ENGINEER. NO.
<br />
<br />~UANTITY
<br />
<br />AI~DtJNT
<br /> $220.00 ....
<br /> 143.00 ~*
<br /> $3.84
<br /> $11.00
<br />
<br />%OTAL:, A,GS~ED FEES $377.84
<br />!PRE¥[OGIS RECEIPT~ % $0.00
<br />THIS. RECEIPT $27?. 64
<br />
<br />,BAL,C, NCE DUE $0,00
<br />
<br />PAYEE: TON DORA~ 18025
<br /> v
<br />RECE)JVED BY: P8 ~ : :,,,,,~', ~:, ',~,,~.,,,, TyPE,t,~'!;[N 'CHECK ~: 0
<br />
<br />~ ~[S IS NOT A PE~IT. ~I~y~LI~[I~
<br />FOLL~ING ~ST BE C~PL~ED.~',~X~;~¢~,~ ,R~IB[,LI~4OF,,~E 'APPLIC~T TO A~RE THAT
<br />ALL NEC~RY INFO~TI~ H~[~E~;~VI~ED~,'~, ® ," ', '' ~,,-'~ ~,;,=', ,",'. '.
<br />
<br /> CI,~ JUR~SDICTI~: BY ~TE
<br />
<br />SEPTIC: DY~_~__~ .... ~ ~T~ .......
<br />Z~ING: BY ........ DATE .... =~___ SETB~: FR~20 L~5,
<br />
<br />HEZ~T: 14 TOTAL ~ F~: 1440 STOR[~: I
<br />
<br />FO,U*MC ~,se ~EV .¢8e OFFICE COPY
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