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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 - 800 A M <br /> <br />ow,,~ATE: 08/04/89 TIME: 12:16:22p TA×i.O'i- OATEGOp3¥ <br /> <br /> 8ERNING, 8RETT RESIDENTIAL <br /> <br /> 5-N R-3 <br /> '720 MICHAEL WAY CONTRACT CITY UGB OO0UPANT LO/'D <br />AUIV[SVI LLE OR 97325 <br />USE OF BUILDING ,,'~U~SV I LLE NO .o OF BEDROOMS <br /> <br />MAILINGAODREBS STNGLE FAMILY DWELLINGS <br /> <br /> PO 80>( 290 <br /> AUMSVILLE OR 97325 <br /> PHONE: 749-25?8 <br /> <br />LOT ~3LOCK <br /> <br />PARCEL <br /> <br />SITE NUMBER: 8004 <br />RANa~VALUATION' ZONE $76 ~/~ ?, 50 <br /> <br />3 <br /> <br />¢¢IDTPI DEPTH AREA <br /> t 6'7 220 <br /> <br />SF YES NO <br /> <br />TYPE: BUILDING PERf4IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO_ <br />BERNING, BRETT <br />PO SOX 290 <br />AUMSVILLE OR 9?325 <br />PHONE: 749-2516 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br /> 9017910 <br />ARCHiTECT'/ENGINEER, NO. <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $364.00 <br /> $236.60 <br /> $3.84 <br /> $18.20 <br /> <br />$622.64 <br /> $0_oo <br />$622.64 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: 8ERNING. BRETT /¢.,.¢"2'J 19017 <br /> <br />* THIS IS NOT i PER~4IT, THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS ~ERE THE <br />EOLLOWING MUST 8E COMPLETED. IT IS THE RESPONSIBILITY OF THE AP~*ICANT TO ASSURE THAT <br />ALL NECESSARY INFORNATION HAS BEEN PROVIDED. <br /> <br />SEPTIC: BY .............. DATE <br />ZONING: BY ......... DATE <br /> <br />REMARKS: NEW RES <br />HEIGHT: 15 TOTAL SQFT: <br /> <br /> CITY JURISDICTION: BY ........ DATE ......... <br /> <br />SETBACKS: FR-20 <br /> <br />2812 STORIES: 1 PLAN.ACTION: <br /> <br />OFFICE COPY <br /> <br /> <br />