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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 />I 8fl/ performing work on a property I own or occupy <br />I ama retl,sler~dbuilderORf Itheauthonzed replesentative <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br />ow~AIb= 02/04/9l <br /> <br />TAX LOT CATEGORY <br />CONS¥~UCT~ON TYPE 90081--011 OCCUP*NCY <br /> <br />RES i DEN f J AL, <br /> <br /> 930 10fH PL <br />AUr45VI LLE OR 97385 <br /> <br />CONTRACT CITY ~'~B OCCUPANT LC~'~3 <br />AUNCSViLLF., NO NO 0~' BtDNUOM5 <br /> <br />MAILINS ~I3F~bSS 5INGLE FAIt'liLY DWELLiN~ <br /> <br /> P,O_ B0X 185 <br /> ~UBLIMIIY, OR 9?385 <br /> PHONE: 76g~7364 <br />LOT BLOCK SECTION TOWNSHIP <br /> <br />SiI~ NUIVlBER: 12213 <br />RAN~LUAIION: ZON* $~0,O00.0~A~ <br /> <br />WIDTH ~ D~PTH 1 A~E~ 25 UNITS <br /> <br />~ ' IPREG LOT 2W :CORNeR ~ <br /> <br />.~P YP,% NO <br /> <br />IYP~: 0~N~LL.ING PERMIT OR APPL. tCAi'ION NO: f9030157 0P <br /> <br />CON iRAC]OR~ NO. <br />'r0~ OORAN <br /> BOX <br />[,'~SL~i[Y 9?385 <br />F~flONE: f59-'1384 <br /> <br />ARCHiIEC'I/ENGJNEER, NO. <br />PHONE: <br /> <br /> lfEN <br />t]NELLING BUILDING FEE <br />[~LLING PLUFABING <br />BNELL1NG MECHANICAL <br />[.~4ELL~NG ELECfRi(,;AL <br />OWBLLiNG SiAIb 5t. JRCHAA~E <br />O~ELLiNG PLAN REVLON <br /> <br />(JUAN I I ]Y <br /> <br />~OIAL ~ED FEES <br />PREWIOOS RECEiPIS <br />1HIS RECE~P'I <br /> <br />AffF,.)U N f <br /> <br /> $93.96 <br /> <br /> 78,30 <br /> $21 .92 <br /> <br /> $0,00 <br />$645,40 <br /> <br />BALANCE DUE $~/,,00 <br /> <br /> PAYEE: [OM EYORAN ,/~)~ ~-- S1872 <br /> R~CE-iVED ~Y: PR--'~ tYPE: iN G~ECK ~: 0 <br /> <br />* ~Hi~ I~ NO[ A PE~Ir. iHIS APPLiCATiON ~f ~ fH~ A REVIEW PR~E~ ~ERE THE <br />F-OLL~iNG ~SI BE CO~PbBI'gD, IT IS ]HE RES~NSIBILJ'fY DP fHE APPLiCANf TO ~Rg 1HAl <br />ALD NECESSARY iNFO~f~ H~ SEEN P~ViDED. <br /> <br /> SgPf iC: BY DAFE <br /> <br /> ZONING: BY DAlE 5EIDACKS: PR 20 L5,5 ~ 5 RR,,5 5P <br /> REMARK5: N~ 'R~D~NC~ ............. <br /> <br /> <br />