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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 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> 08/21/91 <br /> <br />ADDRES~~=~N ' '¥0~ <br /> <br /> 84,5 O'fH <br /> AUIVLSVI LLE~ ORr 9?'32§ <br />USF OF BUILDING; <br /> <br />MA LiNG ADDRESS SINGLE F~IILY DWELLINGS <br /> <br />PO BOX 185 <br />fSUBLiMI'1'Y OR 9?385 <br />PHONE: 769~7364 <br /> ~(odK¢ <br /> <br />WIDTH. 18 DEPTH <br /> <br />ALl. VI LEE <br /> <br />NO <br /> <br /> CAtEgORY. <br /> <br /> . occu~^~c¥. ~DEN f'~AL <br /> <br /> ,Nb o~ ~DROOMS <br /> <br /> 3 <br /> <br />' DEbF4AR ADDi 'f Ir.~ ~ <br /> <br /> SITE NUMETER~ 8146 <br /> ,, ~b/~-~ON ~"! ~N~; .$~4, o.oo. O~A~: <br /> <br />82 RREG LOT: 2W CORN~R~ ~ ~ <br />SF - NO NO <br /> <br />TYPE: 0~EL~[NG <br /> <br />PEP~L'f OR APPL[CA'r[ON NO: <br /> <br />CONTRACTOR, NO. 55493 <br />· rc~l DORAN <br />PO BOX 185 <br />~UBLiMITY g7385 <br />PHONE: 769~7364 <br /> <br /> ITE~ <br />[L~NELLING BUILDING FEE <br />D~ELL[NG PLUMBING <br />D~ELLiNG MECHANICAL <br />O~ELLIN6 ELECTRICAL <br />D~ELLiN6 S'f'AT~ ~ARGE <br />~ELLING P~ REVI~ <br /> <br /> 9034612 OP <br />ARCH1TECI'/ENSINEER, NO. <br /> <br />PHONE: <br /> <br />'f'OTALAS~ESSED FCF.~ <br />PRE¥iOUSRECEIPT~ <br />THi3 RECEIPT <br /> <br />BAL.Z~CE [XJE <br /> <br />QUANTITY A~4OUNT <br /> $213.67 <br /> <br /> 50.84 <br /> $185.00 <br /> <br /> $575.42 <br /> $0.00 <br /> $5?5.42 <br /> <br /> 3649? <br />CHECK ~ 0 <br /> <br />* Il'HiS IS NOT A PE~IT+ 'rHi¢ APPLiCATIONI~UST GOTH~OUC~:A REVIEW PROCEtSS NHERE THE <br />FOLLONING IVtUST 8E COMPLETED. iT IS THE RESPONSIBILITY OF ]'HE APPLICANT TO ASSURE THAT <br />ALL NEC~ARY INFORI~t..A'fION HAE, BEEN PROVIDED. <br /> <br />PLAN REVIEWt BY,,,,._....~ ............ DATE ~F...,,Z..L~ ~.~ ...... <br /> <br />SEPTIC: BY ......................................... BATE ..................................... <br /> <br />ZONING: BY DATE .................................. ~EI'BACKS~ FR_.20 L~.,,,5 <br />REMARKS: NE~'"'RES ............ <br /> <br />HEIGHF: 14 'TOTAL SQ F'T'~ 1328 STORIES: 1 <br /> <br />CITY JURISDICTION: BY ............................. <br /> <br /> RS,.,.5 RR.._5 SP .................. <br /> PLAN.ACTiON: <br /> <br />DATE ................................... <br /> <br />Fo~v ~ uc ~.~¢.Ev. ~/~o OF FICE COPY <br /> <br /> <br />