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MARION COUNTY BUILDING INSPECTION <br />SENATOROLDG 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 /> Other = <br />DA~f~: 12/0B/90 IIME: 11:55:20 <br /> <br />OWNER WALLACE. <br /> <br />DEN I <br /> <br /> 305 ~IAiN ~F <br />AUMSV i LLE <br /> <br />OR 97325 <br /> <br /> SINGLE FAMILY OV~ELL[N(~5 <br /> <br />P.O. BOX 1671 <br />AUMSVILLE. OR 97325 <br />PHf,.,'I'4 E: <br /> <br />AU~C~V I L.LE <br /> <br />NO <br /> <br />OCCUPANT LOAD <br /> <br />SUBDIVISION <br /> <br />RE,RRi F i ELr, Y4~ ADDITION <br /> <br />S[I'E NUff~ERt 11833 <br />VALUATION: $8,300.80 <br /> <br />5-8 g 25 8S 2~ C <br /> <br />¢~,DTH 100 DEPTH ~-16 AREA ~1600+ UNITS ~F IR¢~G LOT NO <br /> <br />f~'PE: BUILOiNe PERNiT OR APPI,.I(~Tir-.~ Nb: ' 9°2~'058 <br /> <br />CC~41t'~,C~,C31'OR, NO. 53100 <br />DOU~ PRUEFI <br />1202~ N_ ~fAYTON RD SE <br />AU~ViLLE. OR 973~5 <br />PHONE: 7~9-7623 <br /> <br />ARC~ITECI'/ENGiNEER, NO. <br />PHONE: <br /> <br />BUiLDiNG FBB <br /> <br />BUILDING SIAIE ~JRCHARGE <br /> <br />(.~UANFI1Y <br /> <br />TOTAL A~E0 FEES <br />PRE¥iOU8 REO~iP1S <br />THiS RECEIPt <br /> <br />BALANCE <br /> <br />PAYEE: LX~J6 PRUCfl <br /> <br />AI'4DUNI <br /> <br /> $48_43 <br /> $3.73 <br /> <br /> $126.66 <br /> $0~06 <br />\,3050 <br /> $0,00 <br /> <br /> 30705 <br />TYPE= IN CHECK ~: 0 <br /> <br />~ rH~8 [S NOI A P~C~1~f, 1H~$ APPLZCATZON t*IUSI' 60 THROUGH A RE¥~EN PROCPJ58 NHERE 3H6 <br />POLL~iNG ~Sf ~ ~PLEfEO. I'f 1S 'THE R~ISiLiFY OF THE APPLi~Nf fO~RE 'fHAl <br />ALL NECE~RY INFO,lION HAS ~EN P~VIDED. <br /> <br /> CiTY JURtSDICII~ BY <br /> <br /> ~EPTiC~ ~Y <br /> <br /> Z~iNG: BY DATE 5ETBACK~: FR L8 <br /> RE,RKO: GA~E~S'FORAG~ <br /> <br /> HEI(~f= 14 IOTAL ~ Fl: 1680 S1ORi~: <br /> <br />,OR~ ~' MC ~-.e ~Ev ,~/~ OFFICE COPY <br /> <br /> <br />