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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STBEET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />fiA'r E: 07/11/90 TIME; 9;17:29 <br /> <br /> JOHNSON, PATRICIA <br /> <br /> 885 6TH <br />AU~VILLE OR 97325 <br /> <br />USE 0¢ BUILOING; <br />MAILING ADDRESS: <br /> <br />PO BOX 722 <br />AUIv~VILLE OR 9?325 <br />PHONE: 749-1967 <br /> <br />LOT: <br /> <br />WIDTIh <br /> <br />BLOCK: <br /> <br /> TAX LOTZ <br /> <br /> CbN~nuc~iSN tYPE: <br /> 5-'-N <br /> <br />, ~5~f~ACT ~TY: U~: <br />AUI"I~V ! LLE NO <br /> <br /> CATEGORY: <br />90050-350 RB~I DEN]' i AL <br /> <br />REIS/DET4 T IAL ACCESSORY 8TRUC?~UR~5 <br /> <br /> FAIR OAKS ESTATES <br /> <br /> 811'E NUIV'BER: 10619 <br /> VALUAI' ION: $5,000.00 <br /> SECTION: ~OWNBHIP: RANGE: ' zoRE: MAI": <br /> 3 25 88 2W RS 51 <br /> <br /> 95 6650 · BP' NO <br /> <br />NO OF 8EOROOM5 <br /> <br />TYPE: BUILDING PERMI'F OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. 25902 <br />STEYrr]~ NICHOL <br />12164 N. $'f'AY'T'ON RD <br />AUIV~VILL~ <br /> <br />BUILDING FEE <br />P~ REViE~ <br />FLEET ,~JRCHARGE -ZONE 3 <br />BUiLOiNG ~TA'fE SURCHARGE <br /> <br /> 9025476 <br />ARC~ITEC'f/ENGINEER, NO. <br /> <br />(JUAN'r i I'Y <br /> <br />~OI'AL ASGE'S,SED FEP.~ <br />PREWZOUs RECEIPT8 <br />I'H:ISRECEiPT <br /> <br />~50.50 <br />32.83 <br /> $3.84 <br /> $2.53 <br /> <br />$89.?0 <br /> $o.o0 <br />$89.70 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: JOHN~;;f4, PA'f'RICIA 26986 <br /> ~ iN CHECK ~: 0 <br /> RECEIVED BY: P~ ..................................... : ........ ::== TypE+~ ........... <br />~ 'f'Hl8 I$ NO'f'A PERMIT. 'f'HiSAPPLiCATiON'f~USTGO THROUC-~-IA REWiE~ P~ ~ERE THE <br />FOLL~ING ~ST BE O~LE'rE0+ IT iS THE R~IBiLITY OFTHE A~Li~T TO ~RE THAT <br />ALL NEC~RY tNFO~'rl~ H~ Bg~ P~iOED. <br /> <br /> CITY JURISDICTIONt BY <br />SEPTIC: BY ............................................ D~'[E ............................ <br /> <br />ZONINg: BY DATE ~E'rB.~DK8: FR 20 L8 5 j RS 5 RR, 5 <br />RE~IARF~ = sTO~GE'"','~t EB ........................................................ <br /> <br />HEIr.:~'II': 13 'I'OI'AL ~ FT: 720 STORiE~: 1 P~.ACTI~: <br /> <br />DATE <br /> <br /> OFFICE COPY <br />FORM # MC ~ 5-5~ R~V, 4/90 <br /> <br /> <br />