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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 4::30 PM - 8::00 AM <br /> <br />ow~TE_~ 10/03/89 <br /> DORAN, TOM <br />51 [US ADDRESS <br /> <br /> 825 8TH <br />AUMSVI LLE <br /> <br />TIME~ 10:58:04a <br /> <br />OR 9?325 <br /> <br /> 90040-290 RESIDENTIAL <br /> 5-N R-3 <br />AUMSVILLE NO <br /> <br />NO OF BEDPOOMS <br /> <br />MAILINQADDREGS SINGLE FAMILY D~ELLINGS <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769-7354 <br /> <br />DELMAR III <br /> <br />SITE NUMBER: 851 ? <br />VALUATION: $34,500.00 <br />R~NGF ZONE MAP <br /> <br /> 16 5 25 <br />WIDTH DBPTN AF!EA UNITS <br /> <br /> 75 100 7500.00 <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 DORAN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />PHONE: 769-7364 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVI E~ <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />9019353 <br /> <br />ARCHITECT/ENGINEER, NO. MULTI <br />t,'ULTI/TECH <br />1155 13TH ST SE <br />SALEM OR 97302 <br />PHONE: 363-922? <br /> <br /> (~J,~NTITY <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTG <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 /> $o.oo <br /> $370.20 <br /> <br /> $0.00 <br /> <br />20522 <br /> 0 <br /> <br />PAYEE: TOM DORAN /~¢,~ <br />RECEIVED BY: P8 ~ . ~.~//..~. TYPE: IN ~ECK ~: <br />* THIS IS NOT A PE~IT. THIS APPLICATION MUST ~ ~ A R~IB P~E~ ~ERE THE <br />FOLL~ING ~ST BE C~PLETEB. IT IS THE RES~SIBILITY OF THE APPLICANT TO ~URE THAT <br />ALL NEC~ARY INFO~TI~ H~ BE~ P~IBED. <br /> <br />CITY JURISDICTIORN BY <br /> <br />DATE <br /> <br />SETBACKS.* FR-20 LB-5 RS-5 PR-5 <br /> <br />1220 STORIES; 1 PLAN.ACTION: <br /> <br />SEPTIC: BY DATE <br />ZONING: BY DATE ......... <br /> <br />REJvtARKS: NEN RES <br />HEIGHT: 14 TOTAL SQ FT: <br /> <br />CORM ,,~ MC 15 ~6 RFv 11,88 OFFICE COPY <br /> <br /> <br />