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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO. 225 <br />220 HIGH ~TREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P.M. - 8:00 A,M, <br /> <br />) I am performing work on 8property I own or occupy, <br /> I am a reoisioped bui{der OR ( ) tho authorized representative <br /> Of a registered builder, <br /> <br />ow~l'E; 08/24/89 TIME: 10;08:3'~ TAX LO,r: <br /> DORAN , TOM 90040-520 <br /> <br /> 840 8TH ST CONm^CTC~T¥: UeS: <br />AUFF-~V I LLE OR 9?325 <br />uss oF SUILi)INC~: AU~Sv Z LLE NO <br /> <br />RES i OEN T [ 4.;; < <br /> <br />NO OF BEDROOMS: <br /> <br />MAS,INGADDREBS: SINGLE F~ILY DWELLINGS <br /> <br /> PO BOX /85 DEL Iv~,R <br /> SUBLIMITY OR 9?385 <br /> PHONE: ?59-?364 SITE NUIVISER: <br />LOT: BLOCK: SECTION; TOWNSHIP: R~NO~AL('JA'TZON:zoNE: <br /> <br />8185 <br /> $33 ,~p. 0_ 00 <br /> <br />?5 95 7125.00 SF NO NO <br /> <br />RS 5 'i <br /> <br />TYPE: BUILDING <br /> <br />PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO, 55493 <br />TOM DORAN <br />PO BOX 185 <br />SUBLIMITY 97385 <br />~HONE: 769-7364 <br /> <br /> ITFJ~4 <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE ~RCHARGE <br /> <br />18332 <br /> <br />ARCHITECT/ENGINEER, NO. NtULTI <br />MUL]I/TECM <br />11~5 13TH ST SE <br />SALEM OR 97302 <br />PMONE: 363-922? <br /> <br />OUANTITY <br /> <br />AMOUNT <br /> $2~.00 <br /> $137,'15 <br /> $3-8¢ <br /> $~0.5s <br /> <br /> ,TOTAL ASSESSED FEES $362.54 <br /> PREVIGUS RECE]PTS $362_ 54 <br /> T~[S RECETPT $0,00 <br /> 8ALANCE DUE $0.00 <br />PAYEE: <br />RECEIVED BY: P8 <br />.............................. ~m:%=%-~-~--= .... ~ .... ~YPE'~ CHECK ~: <br /> '~ T~IS IS A VALID PER~IT ~,' TH,[S'¢,,~E~[T,~PZ,~ES lS0 DAYS ',ER~ ITS ISSUE DATE. IF <br /> ~ONoTRUCTION CEASES FOR A 'P~,l~'OP',"180 D~YS", ,OR' 1,~' C~S~U¢I~ FAILS TO PvEET ~LL <br /> REQUIREMENTS GF STATE LAWS ~";~'bN',, ~'~Y, RHTPnTM~ ~*TA ~*,~,~ ~& ...... e '% '~ <br /> <br />LS-5 RS-S', ~'R-5 <br /> <br /> TOTAL ~: 1320 STORI ES: ! <br /> <br />SETBACKS: <br /> <br />REMARKS: NEW RES <br />HEIGHT: <br /> <br />PLAN,ACTION: <br /> <br />DONALD E, WOODLEY, fvlARION COUNTY BUILDING OFFICIAL / BY <br /> <br />OFFIC~ COPY <br /> <br /> <br />