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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 />SIGNATURE OF APBLICANT <br /> DATE <br /> <br />OWN~fE:: 0?/09/93 fL~E; ]3:25:52 <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br /> AUMBV i t..,L~ b. <br />USE DP RL. q1 D~NG <br /> <br />OR . 9::/'325 <br /> <br /> CONTRACT CITY <br /> <br />A[J~vr~v I LIE <br /> <br />NO <br /> <br />OCCUPANT LO~.~ <br /> <br /> NO OF BEDROOMS <br /> <br />LSiNGLE FAI'41L¥ DWbLLINGS <br /> <br /> PO BCX 5?3 <br /> AU~V 1. LL~-,, OR 9Y325 <br /> <br />LOT BLOCK <br /> <br />SECTION TOW NSH I P <br /> <br />NUMBER: 13443 <br /> ION:,zONE $97, 735. <br /> <br />OEPTH <br /> <br />150 ~,08~;,~ <br /> <br />8~ i~ LOT :~,~ CORNE~ i.~¢~ <br /> <br /> 9033580 DP <br />ARCHITECT/ENGINEER, NO, <br /> <br />iIEM <br />DWELLING BUILDING FEB <br />L~ELLiNG PLU~8iNG <br />D~bLLIN~ ~ECBAN]CAL <br />D~ELLiNG ELECTRiCaL <br />O~ELLING SLATE SURO~ARGE <br />O~ELLiNG PLAN REVISW <br /> <br />TOTAL ASSE~EO PEE5 <br />PREVIOUS RECEiPI5 <br /> <br />BALANCE OUE <br /> <br />OU AN T i T Y <br /> <br /> PA,Y, gE: DONOVAN, JOBN ~ , , ';35404 <br /> RECEIVED BY: OB ~ ~;~ ]YP,~; I~,l UH6C~< ~; O <br /> <br />* TH~S IS N0f /~ PERlqI!. ldi5 APRLICAT[ON MUST GO THROUGH A REVIEW PRL~Eb5 WHERe IF'~L <br />PO~t. OWIN(.~ lvlUb~ U~ C~I2LEIED. IT 15 'THE RE~P~iSlLiTY OF THE APPLICANT TO A%~RE fDA' <br />A, , NE:C~5~ARY iNfORMAtiON HAS BEEN PROVIDED+ <br /> <br />F~L, AN RbVJbW: BY O,a <br /> <br />[.ON [NG: <br />!4[sMARK~: !WEN <br /> <br /> Ci1Y JURISDiCTiON: GY <br /> <br />O~T~ !3~IBACK~: FR 20 L~ b RS 5 RR 5 !3P <br />iQIAL BQ F): 240~ S!ORiE.S: I OL4N,ACTION: <br /> <br />B c, [ GH /: 15 <br /> <br />DATE <br /> <br />FORM # MC 15.56 REV ,1/90 OFFICE COPY <br /> <br /> <br />