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MARION COUNTY BUILDING INSPECTION SENATOR BLDG NO, 225 220 HIGH STREET NE SALEM, OREGON 97301 PHONE 588-5147 CODE-A-PHONE 4 30 PM - 8 00 AM Othe~ DATE: 10/03/89 TIME: 8:51:25a DORAN, TOM SITUS ADDRESS 990 CHERYL AUFISVILLE OR 97325 USE OF BUILDING MAILING ADDRESS SINGLE FAMILY D~ELLINGS LOT 90061-92 '1 RESIDENTIAL 5-N AUMSVI LLE NO GILOOW II NO OF RFF)HC,OMS 3 PO BOX 185 SUBLIMITY OR 9?325 PHONEs ?69-?364 SITE NUFiBER: 8510 VALUATION: $35,000.00 6 4 25 8S 2W RS 51 83 98 SF YES YES 'FYPE: BUILDING CONTRACTOR, NO. TOM DORAN PO BOX 195 SUBLIMITY 9?385 PHONE: 769-7364 PERMIT OR APPLICATION NO= 55493 ITEM BUILDING FEE PLAN REVIEN FLEET SURCHARGE -ZONE 3 BUILDING STATE SURCHARGE 9019329 ARCHITECT/ENGINEER, NO. RULTI MULTI/TECH 1155 13TH ST SE SALEM OR 97302 PHONE: 363-922? ~)LIANTITY AMOUNT ~215.50 140.08 $s.84 TOTAL ~E~ED FE~ $370.20 PR~I~S RECEIPTS $0.00 THIS RECEZPT $370.20 BA~CE ~E $0~00 PAYEE: TON DORAN //~ 2049? RECEIVED BY: PB .......... ~ TYPE: IN CHECK ~: 0 ~ THIS IS NOT A PERMIT. THIS APPLICATION Iv~JST GO THROUGH A REVIEN PROCESS I~¢HERE THE FOLLONiNG MUST BE COMPLETED. iT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT ALL NECESSARY INFOE~t4~cION HAS BEEN PROVIDED. ~____ PATE~Z~--£~_~, ....... CITY JURISB~CTION~ 8Y ........ DATE SEPTIC= BY ............ DATE ZONING= BY ......... DATE__ SETBACKS= FR-20 LS-5 RS-5 R~-5 SP- REI~4ARKS: NE~ RES HEIGHT: 14 TOTAL SQ FT: 1420 STORIES: 1 PLAN.~TION: