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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 PM - 8::00 A M <br /> <br />DATE <br /> <br />~E: 11/28/89 <br /> <br />StTUS ADDS. TON <br /> <br />TIME: 10:2g:13 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYP~6040-030 <br /> <br />CATEGORY <br /> <br />OCCUPANCY RESIDENTIAL <br /> <br />865 gTH ST <br />AU~¥ILLE OR 97325 <br />USE OF BUILOfNG <br /> <br />AU~SVILLE NO No o¢ ,~D,OOM~ <br /> <br />MAILING ADORES8 SINGLE FANILY DNELLINGS <br /> <br />PO8OX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769-7364 <br />LOT BLOCK <br /> <br />SECTION <br /> <br /> DELMAR III <br /> <br />SITE NUMBER: 73?? <br />~W~JJATION: zo~32,800.00 MAP <br /> <br />WIDTH9 DE~TH 4 AREA <br />75 <br /> <br />UN,TS 3S <br /> SF <br /> <br />IRREG LOT2W CORNER <br /> <br /> YES NO <br /> <br />51 <br /> <br />TYPEi BUILDING PERNIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TC¢4 DORAN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: 769-7364 <br /> <br /> ITEN <br />BUILDING FEE <br />PLAN REVI~/ <br />FLEET SUR~4ARGE -ZONE 3 <br />BUILDING STATE ~¢JRCHAF~E <br /> <br />PAYEEs TOM OORAN <br />RECEIVED BY: PS <br /> <br />9020458 <br /> <br />ARCHITECT/ENGINEER, NO, MULTI <br />D~JLTI/TECH <br />1155 13TN ST SE <br />SALFJ4 OR 97302 <br />PHONE: 363~9227 <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />TYPE; IN CHECK <br /> <br />A~CUNT <br /> 206.50 <br /> 134+23 <br /> $3.84 <br /> $10.33 <br /> <br />$354+90 <br /> $o.oo <br /> <br />$0+00 <br /> <br />21711 <br /> 0 <br /> <br />* THIS IS NOT A PERNIT. THIS APPLICATION MUST 60 THROUGH A REVIE~ PROCESS ~HERE THE <br />FOLLONING MUST BE CONPLETED+ IT IS THE RESPONSIBILITY OF THE APPLICANT TO ~RE THAT <br />ALL NECE~RY INFORfC. ATION H~S BEEN PROVIDED. <br /> <br />PLAN REVIEN: BY___~ DATE~,"~. <br /> <br /> CITY JURISDICTION; BY~ ....... <br />SEPTIC: BY DATE \ ~ <br />ZONING; BY DATE S~TBAOKS: F~_20 LSd5 RS_5 ~R 5 SP <br />RE..NARKS: NEN RES <br />HEIST: 14 TOTAL ~ ~t 1328 STORIES: 1 P~.ACTI~: <br /> <br />DATE <br /> <br />~O*M, MC ~" ',', .~ I,,aZ OFFICE COPY <br /> <br /> <br />