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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />¢'20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4 30 PM - 8::00 AM <br /> <br />OWNER <br /> DATE: 05/10/89 <br /> <br />SITUS ADDnC~s©.OR.g~N, TOM <br /> <br />TIME: <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />90040-280 <br /> <br />RESIDENTIAL <br /> <br /> 815 8TH ST <br />usC6Cfl~LE OR 9?325 <br /> <br />SINGLE FAMILY DWELLINGS <br /> <br /> CONTRACT CITY <br /> <br />AUMSVI LLE <br /> <br /> SUBDIVISION <br /> <br />NO <br /> <br />OCCUPANT LOAD~_3 <br /> <br /> NO OF SED~OOMS <br /> <br /> BOX 185 <br /> SUSLIMITY, OR 9?386 <br />LOT ONE: ?6%Z& 4 <br /> <br />WIDTH OEPTH <br /> <br />25 SS <br /> <br />R~TE NUMBER: z N <br /> 9ALUATION: o E <br /> <br />7208 <br /> $92 ,N¢~o. CO ' <br /> <br />2N RS 51 <br /> <br />NO NFl <br /> <br />TYPE; ~BUILDING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TOM DORAN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: 769-?364 <br /> <br /> [TEN <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE: TOM I]3RAN <br />RECEIVED BY: c] <br /> <br />9015801 <br /> <br />ARCHITECT/ENGINEER, NO. MULTI <br />MULTI/TECH <br />1155 13TH ST SE <br />SALEM OR 97302 <br />PHONEs 363-922? <br /> <br />QUANTITY AMOUNT <br /> ~206.50 <br /> 134.29 <br /> $9.84 <br /> $I0.33 <br /> <br /> $354.90 <br /> $o_oo <br /> $354.90 <br /> <br /> $o.oo <br /> <br /> % 16797 <br />CHECK ~: 0 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />.......................... TYPE~ IN <br /> <br />~ THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO A~SSURE THAT <br />ALL NECESSARY INFORMATION HAS ~EEN PROVIDED. <br /> <br />PLAN RE'VIEW, 8Y .... ~_____ DATE_~Z~_~_ <br /> <br />SEPTIC: BY ............ DATE <br />ZONING; BY ......... DATE <br /> <br />R~RKS: RES <br />HEIGHT: 14 TOTAL SQFT: 1328 <br /> <br /> CITY JURISDICTION= BY ........ DATE <br />SETBACKS: FR-20 LS-5 RS-5 RR-5 SP- <br /> <br />STORIES: 1 PLAN.ACTION: <br /> <br />FO~M /~MC1556 REV H'88 OFFICE COPY <br /> <br /> <br />