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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 NIGH 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 />uw~:~'f'E: 04/29/91 'I' if'4E: <br /> <br />860 91'H <br /> <br /> I CONSTRUCTION TYPE: 90040 220 foobb~A~c¥: RE'~IDEN'FIAL <br /> <br /> AU~ViLLE NO N0 0, ~00~S <br /> <br />SINGLE P'A~ILY DN~LLiN~ 3 <br />DEL ~R AD~ ~3 <br /> <br /> PO BOX 12533 <br /> SALEM 97309 <br /> PHONE.* 588-2373 <br />LOT: BLOCK: <br /> <br />WIDTH: 9 DEPTH; 5 <br /> <br /> ¢ S]]'E NUIVlBER .~ 12734 <br />SECTION: I TOWNS"IP'. r~^N~E.UAT If.~: ZONe: $50,000, <br /> <br /> TYPE: DWELLING PER~4f'I' OR APPLICATION NO: 9031571 OP <br /> <br /> CfON'I'RAC'IOR, NO+ 43505 A~i'1'EC'I'/~INE~R, NO. <br /> ~L~ ~'F'rER <br /> ~ BOX 12533 <br /> ~L~ 97309 <br /> ~E~ 588-23?3 <br /> <br /> J 'f ~ ~'f'[ TY ~N T <br /> ~E~L[NG BU[LD[NG ¢EE $212.00 <br /> ~ELLtN6 P~[NG $?9.50 <br />, ~ELL[NG ~E~[CAL $13.25 <br /> ~ELLING ELECTRICAL $66.25 <br /> ~6LLING STAT~ ~A~ $18.55 <br /> ~LLING P~ R8VI ~W $185.00 <br /> <br /> TOTAL ~ED F~6$ $574.55 <br /> 'PREVI'~ R~IPT5 $589.55 <br /> FHIS RECEIPT -$15.00 <br /> <br /> SAUCE ~E $0.00 <br /> <br /> PAYEE: ~L~ ~'r]'ER 33617 <br /> RECE[VED BY; PR 'IYPE: IN ~K ~: 0 <br /> <br /> ~ THIS I~ NOT A PE~IT, THiS APPLi~TI~ ~3T ~ TH~ A REV[6~ P~ ~ER6 THE <br /> FOL~NiNG ~'f' BE ~PLETED. [1: 18 THE R~SiBiL['I'Y OF THE APPLIC~I TO ~RE THAT <br /> ALL NEC~ iNFO~Ti~ h~ BE~ P~ViOEO. <br /> <br />PLAN REVIEW*- BY .................................... 0AT6 .......................................... <br /> CITY JUR~'¢DJ. CI'ION: BY ....................... DATE .............................. <br />SEP'r ic: BY ..................................... OATE ................................ <br /> <br />ZC~INO: BY DATE .................... ~E1'r~ACKS; F'R...20 L~_5 F~._5 RR...5 SP .................... <br />REMARKS: NE~/'"' RF.S .......... <br /> <br />HEIGHT: 14 TOTAL ~Q P"f': 1325 STORIES: 1 PLAN.ACTiON: <br /> <br />FORM # MC ~§-§6 REV. 4/90 OF FIDE COPY <br /> <br /> <br />