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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />"20 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 RM, - 8:00 A.M. <br /> <br /> of a registered builder. <br /> The work wilj be pottotmed by a regi~tere~ builde¢, <br /> Other .... <br /> <br />this document. <br />DATE; C9/22/89 TIME: 1:50:20p <br /> DORA~, TOM <br /> <br /> 94.0 BTH ST <br />AU~SVI LLE OR 9'7325 <br /> <br />MAILING <br /> <br />SINGLE FAMILY DWELLINGS <br /> <br />SIGNATURE'OF APPLICANT; ....... <br /> <br /> DATE: <br /> <br /> 900,4,0-520 RESI ©ENTiAL. <br /> B-N R-3 <br />AUMSVILLE NO <br /> <br />SUBDIVISION: <br /> <br />DEL MAR ~3 <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97385 <br />PHONE: '769-?36,4, SITE NUMBER: 8185 <br /> VALUATION; $33,500. O0 <br /> <br /> 11 6 25 8S 2W RS ¢',7 ~, <br /> '75 OEPTH: 96 AREA; '7 125- 00UNITS: SF IRREG LOT: NO CO~NeH:No <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO. <br />TOM DORAN <br />PO BOX 185 <br />SUBLIMITY 9?385 <br />PHONE: ?69-'7384 <br /> <br />PERMIT OR APPLICATION NO: 9018332 <br /> <br />ARCHITECT/ENGINEER, NO, MULTI <br />[V~JLTI/TECM <br />]]55 ]STH ST SE <br />SALEM OR 9'7302 <br />PHONE: 363-922? <br /> <br />TOTAL:AE4.SESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILBING STATE SJRCHARGE <br /> <br />BALANCE DUE <br /> <br />~2U,AN T I TY <br /> <br />AMO~JN'T' <br /> $21 I. O0 <br /> $137. 'tS <br /> $3.8¢ <br /> $10, .:i 5 <br /> <br />$382,54 <br /> $0-00 <br />$362,54 <br /> <br />$0.00 <br /> <br />PAYEE~ TOM DORAN ~¢~;;~ 19445 <br /> <br />:'~ 7"H1S tS NOT A PERMIT. THIS,',APR,LICATZON MUST ¢¢::) THROUGH :,A, REVIE~ P~OCESS NHERE THE <br />mOLLONING MUST BE CCMPLETBD.,,,;'"IT' ,IS THE RESPONS;[BIL, I;TY',OR THE APPLICANT TO .,".SSURE I'HAT <br />ALL NECESSP, RY ZNFORMAT'rON HAS','BEEN PROVIDED.' <br /> <br /> CITY JURZSDI,CTION: BY~ ....... DATE <br />SEPT]:C: BY BATE <br />ZBN[NB: BY ......... BATE~__~.. ..... SETBACKS; FR~20 LSd. 5 '"-RS-5 RR-B SPT <br />REMARKS: NE~ RES <br />HE[GHT: 14 TOTAL SQ ,PT: 1320 STORIES; 1 PLAN,ACTION~, <br /> <br />FORM # MC I~-~ ~V 1~/~ OFFIC~ COPY <br /> <br /> <br />