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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 588-5147 <br />CODE-A-PHONE 430 PM - 8 00 AM <br /> <br />DATE; 10/10,/89 TIME: 11;12:24a <br /> DC)PAN, TOM <br /> <br /> 525 8TH <br />AUMSVI LLE OR 97325 <br /> <br />SINGLE FAMILY DNELLING~ <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97385 <br />~flONE: 769-7364 <br /> <br />LOT BLOCK SECTION TOWNSI <br /> 16 5 25 <br /> 75 100 7500.00 <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> DATE <br /> <br /> "AX LOT CATEGQR ¢ <br /> 90040-290 RESIDENTIAL <br /> <br /> CONSTRUCTION TYPE OCCUPANCY <br /> <br /> 5-N R-3 <br />CONTRACT CITY UGR OCCHPANT LOAD <br />AUt"4SV I LLE NO <br /> <br />DELMAR III <br /> <br /> SITE NUMBER: 8517 <br /> VALUATION: $34,500.00 <br /> <br />8S 2N RS 51 <br />SF NO NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TOM BORAN <br />PO BOX 185 <br />SUBLIMITY 97395 <br />PHONE: 769-7364 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />19353 <br /> <br />ARCHiTECT/ENGINEER, NO. MULTI <br />MULTI/TECH <br />1155 13TH ST SE <br />SALEM OR 9?302 <br />PHONE: 362-9227 <br /> <br />QLb~C4TITY <br /> <br />PAYEE: TOM COP,AN <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />AMOUNT <br /> $215.50 <br /> $140,08 <br /> $3_84 <br /> $10_78 <br /> <br />$370.20 <br />$377.84 <br /> <br />$0.00 <br /> <br />20?05 <br /> <br />RECEIVED BY: PS ................................ TYPE; IN CHECK ~: 0 <br /> <br />* THIS IS A VALID PERMIT * THIS PERM. IT EXPIRES 180 DAYS FROM ITS I~E DATE. Z? <br />CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />~EQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PEP. NIT <br />'~'~ALL BECOME NULL AND VOID. <br /> <br />SETBACKS~ FR-20 LS-5 RS-5 RR-5 SP-____ <br /> <br />REMARKS; NEW RES <br />HEIGHT: 14 TOTAL SQFT: 1320 STORIES: 1 <br /> <br />DONALD E_ NOODLE~', MARION COUNTY BUILDING OFFICIAL / 8Y <br /> <br />'PL?. ACTUatOr: <br /> <br />FO.M ,¢ MC 'S-Se nEY ,T88 OFF!CE COPY <br /> <br /> <br />