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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />230 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-8147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />OtherThew°rkwUIbeDe¢f°rtilcdbyaregisteredbuilder' <br /> <br />°w~:r E: 08/30/90 'FINE: <br />STU$ AOOReEa.iLLER, JERRY <br /> <br />10;41:21 <br /> <br /> LOT: CATEGORY <br />20NSTRUCTfON TYRE OCCUPANCY: <br /> <br />RE,~i DENT IAL <br /> <br /> 9337 SILVER FALLS H~Y <br />' U~,~l~E .~ OR 97~25 <br /> <br />SE <br /> <br />OTHER NON-RESIDENTIAL BUILDiNf~ <br /> <br /> CONTRACT CITY: 5~S: OCCUPANT L~'~ <br /> <br /> NO OF I]EDROOMR <br />~Ri~ ~NTY NO <br /> <br /> 435 N. ~ACY s'r <br /> M~INNViLLE, OR 97128 <br /> PHONE; 472~7518 <br />LOT BLOCKz <br /> <br />r S~CTION <br /> <br />'Tb~NSHIP <br />UNITS: <br /> <br /> SITE NUIVECER: 11075 <br /> ~¢A:LUATiC¢4: ZONE'. $1,848.0¢Ap. <br /> <br /> qREG. LOT. 2W CORNER; CRf_~- 49 r-~--' <br />88 <br /> <br />Gl- NO NO <br /> <br />'T'YPE: BUILDING RER¢41'¥' OR APPLICATION NO: <br /> <br />~'r~c'roR, NO. <br />MILLER, JERRY <br />435 N. ~CY ~'F <br />~MINNViLLE, OR 97128 <br />PHONE: 472-7618 <br /> <br /> .l.'f i~q <br />BUILDING FEE <br />PLAN REVlE~ <br />FLEET .~RCHARGE -ZONE 4 <br />BUILDING STATE SURCHARGE <br />ZONING .~U RCHARGE <br /> <br /> 9026861 <br />A~IT~'r/~GINEER. NO. <br /> <br />TOTAL ASSE~ED P'E~ <br />PRE¥IOUS RECEIPTS <br />I'HIS RECEIPT <br /> <br />QUANTITY <br /> <br />~Nl' <br /> $31.00 <br /> $20.15 <br /> 5.12 <br /> 1.55 <br /> 1.55 <br /> <br />$59.37 <br /> SO.OD <br />$59.2? <br /> <br />BALANCE CUE $0.00 <br /> <br />PAYEE: MILLER, JERRY 28418 <br />RECEIVED BY: Pr TYp~: CK CHECK ~: 3934 <br /> <br />*'['HIS IS NOT A PE~iT. 'tHIS APPLI~'rioN!~$~ ~ TH~ A RE¥1E~ P~ ~ERE THE <br />FOLL~ING ~S'l' BE C~PLETED. :ii i$ THE RES~SiBiLITY OF THE APPLIC~T TO ~RE THAT <br />ALL NECE~ARY INFo~'rlONH~ 8E~ P~VIDED. <br /> <br /> P~ R~' ~ : ~ III, ,i~ II,~ .............. ~*I' ~ ii,~/~I~ <br /> CITY JURiSDiCTiON= BY DATE <br /> SEPTIC: BY DATE <br /> <br /> R~RKe: ~eE'"'B~.R~32'19 ................ ,, '-";-" ......................................... <br /> <br /> NEiGH'I': 8 TOTAL ~ P'T: 0 3'rOR]~; P~.AOTi~: <br /> <br />OFFICE COPY <br /> <br /> <br />