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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 />Other. <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />OWNER <br /> OAf'E: 10/17/90 <br />S~TUS ^ODRES~JNN 'lin <br /> <br />11ME~ <br /> <br />'fAX LOT <br /> <br />CONSTRUCTION TYPE 5'~816--909 <br /> <br />RESiDENIIAL_ <br /> <br /> MICHAEL NAY <br />us~ OR 9?325 <br /> <br />SINGLE FAMILY D~ELLINC.,-~ <br /> <br /> CONTRACT CITY <br /> <br />AUM'SV 1 LLE <br /> <br /> SUBDIVISION <br /> <br />UGB <br /> <br />NO <br /> <br />OCCUPANT LOAD. <br /> R-3 <br /> <br />A~JME~iVI LLE, OR <br /> <br />9?325 <br /> <br />SECTION TOWNSHIP <br /> <br />~,~f,~. NUMBER: <br />"V-ALUA I ICON: <br /> <br />WIDTH SEPrH AREA U NI'i'S <br /> 25 <br /> <br /> IRRSG t. OT <br />8S 2W <br /> <br />Z~NE 11453 ~AO <br />~ $83,500.00' ' <br /> <br />CORNER <br /> <br /> NO <br /> <br />BUiLDiNG <br /> <br />C~T~¥OR, NO. <br />~NN, TIM <br />P.O. BOX 290 <br />AUMSJVILLE. OR <br />PHONE: 749-2576 <br /> <br />PERMIT OR APPLICAFI~ NO; <br /> <br />97325 <br /> <br /> I1EM <br />~U iLDiNG FEE <br />PLAN RE~/I EN <br />FLEET SURCHARGE -ZONP 3 <br />BUILDING ~IA1E ,SURC'HARGE <br /> <br />PAYEE: [.G.NICHOL PLU~IBiNG, INC <br /> <br /> 9028078 <br />A.~HIIEC~/ENGINEER, NO. <br /> <br />PHONE~ <br /> <br />TOf'AL ~E~EO FE~ <br />PRE~IOU~ RECEIPTS <br />TH[S REOEiP~ <br /> <br />QU/~4[1TY <br /> <br />AFCOUN I <br /> $~85.0o <br /> $250.25 <br /> $3,84 <br /> $19,25 <br /> <br />$658.34 <br /> So.co <br />$658.~4 <br /> <br />BAL.,~NCE DUE $0.00 <br /> <br /> f~ECblVbD BY: PR TYPE: iN CHECK $r: O <br />~ 'IHI$ 15 NOT A PE~i'f. I'H~S APPLJCATi~ ~S[ ~ THIGH A REVIEW PR~E~ ~ERE 1HE <br />POLL~iNG ~SI BE C~PLE"FED. I[ IS THE R~SIBILI"rY OF THE APPLICAN~ lO ~RE fHA)' <br />ALL NECE~ iNFO~'I~ H~ BE~ P~VIDED. <br /> <br />~bP'T[C: BY ............ OAf~ <br /> <br />ZONING: BY DAlE ~ETBACK~: <br />REMARKS': NE14RE~ ......... <br /> <br />HEiGHI; O IO1AL ~ FI': 3438 <br /> <br />CitY JURISDICTION: BY DA'I~ <br /> <br />PR 20 L~ 8 R8 8 RR 8 SP <br /> <br />S¥OR ~ E8: 2 PLAN. AC l l ON: <br /> <br />OFFICE COPY <br /> <br /> <br />