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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 /> g~Ai E: t2/05/90 <br />OWNER <br /> <br />TIME: 10:21:18 <br /> <br /> 890 8FH Sr <br />AUIVI,$V ILLE OR 97325 <br /> <br /> TAX LOT <br /> 90040-,470 <br /> CONSTRUCTION TYPE <br /> <br />, CONTRACT C~TY ' UGB' <br />AUI~-SV 1 LLE NO <br /> <br />CATEGORY <br /> RESi DEN t IAI. <br />OCCUPANC'~ <br /> <br />OCCUPANT LOAD <br /> <br />MAIL INO ADDRESS SINGLE FADIlLY L.~NELLINF--~-%' <br /> <br />PO BOX 185 <br />~-~BLiMilY OR 97385 <br />PHONE: 769-7364 <br /> <br />LOT BLOCK SECTION <br /> 6 8 <br />95 <br /> <br />SUBDIVISION <br /> <br />DELMAR ADBITiON ~3 <br /> <br /> VALUA'f'~ON: <br /> TOWNSHIP RANGE <br /> <br /> 25 SS..! ZW <br /> :UNITS IR~EG LOT <br />7030. SF <br /> <br /> 11857 <br /> $29,500+00 <br /> SONS MAP <br /> <br />' <br /> <br /> NO <br /> <br />2 <br /> <br />FYPE: ~U~LDING PERMI[ OR APPLiCAFiON NO: <br /> <br />CONTF~CIO~, NO. 55493 <br />[OM DORAN <br />PO BC~ 185 <br />~SUBLiMIfY 97385 <br />PHONE: '/69-'7364 <br /> <br /> itEM <br />BUiLDiNG FEE <br />PLAN <br />FLEET ~URCHARf~E -ZONE 3 <br />BUILDING SFAJE SURCHARGE <br /> <br />PAYEE: rOM DORAN <br />RECEIVED MY: PB <br /> <br /> 9029108 <br />ARCHiIECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />tOtAL A~ESSEO <br />PREW1OLI$ RECEIP'r$ <br />THIS RECEIPt <br /> <br />QUAN f I fY <br /> <br />AI~)UNf <br /> St93.oo <br /> $125.45 <br /> $3.84 <br /> $9.85 <br /> <br />$331.94 <br /> So.om <br />$331.94 <br /> <br />BALANCE <br /> <br /> 30780 <br />'TYPE: iN CHECK ~: g <br /> <br /> *THiS lS NOF A PERMi'I. FHI$ APPLICAIION <br />POLLONING NUNf BE CO~PLEYED. IT i3 1HE RESF~ONSiB~LIf'Y DP THE APPLICANT lO A~URE IHA~ <br />ALL NgCE~ARY iNPORlV~T~ON HA, BEEN PRr.3ViBED. <br /> <br /> PLAN REViEN: BY DArE <br /> <br /> CIIY JURISDZCf~: BY D~fE <br /> ~EP~lC: BY ~[E <br /> <br /> ZONING: BY DAIB <br /> RE'~RKS: NEN RES <br /> <br />H~IGHI: 14 IO1AL SQ FI: 1181 <br /> <br />FORM # MC IS.~REV 4/~0 OFFICE COPY <br /> <br /> <br />