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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 800 o 4"30 <br />24 HOUR CODE-A-PHONE. 588-7904 <br /> <br />Othur <br /> <br /> I hard read and agree to the terms stated on the reverse side <br /> <br />DA1E$ 08/28/91 liME; 13:21:17 <br /> <br />OWNER DORa,N, <br /> <br />DATE <br /> <br />TAX LOT 900~.$ 0~?0 <br /> <br />R~S 1 DEN l I At. <br /> <br /> 905 8 fHS f <br />AU~:~V l LLE <br /> <br />(IRE OF BUILDING <br />MAILINQ ADDRESB <br /> <br />51NGL~ lA,lILY C~NELLiNG.S <br /> <br /> CONSTRUCTION TYPE <br /> <br /> CONTRACT CITY <br />AUM,SVI LLE <br /> <br />SUBDIVISION <br /> <br /> OCCUPANCY <br />5-N <br /> <br />DbLRAR AD~ ~3 <br /> <br />WIDTH ?A DEPTH <br /> <br /> sire NURBER: 13887 <br /> VALUAIlON: $3'ft000.00 <br /> <br />: SECTION TOWNBHI~ RANGE : ZONE MAP <br /> 25 8S 2N R~ <br /> <br />TYPE: DWELLING <br /> <br />CE,'NIRACIOR, NO. <br />TOt'4 DORAN <br />PO BOX 185 <br />~UBLiMIFY 97385 <br />PHONE: 769-7364 <br /> <br /> PERr4Ir OR APPLICAFION NO: 34813 DP <br /> <br />55493 ARCHiTECF/bNGINEER, NO. <br /> <br />~NELLING ~UILDING FEE <br />DWELLING PLUMBING <br />ONgLLING MECHANICAL <br />DWELLING ELECTRICAL <br />ON~LLiNG BEALE ~K%HARGE <br />D~ELLING PLAN RE¥iEN <br /> <br />PAYEE: <br /> <br />1OTAL ~E~ED FEE5 <br />PREVIOUS RECEiPFS <br />THIS RECEIP1 <br /> <br />8AL/I.NC E CUE <br /> <br />AMOUNT <br /> $228_~4 <br /> 183_37 <br /> 20.7'? <br /> <br /> $19.89 <br /> $185.00 <br /> <br /> 602.77 <br /> $0.00 <br /> <br /> $o,oo <br /> <br /> REC~JVgD BY: cl IYPE: CHECK ~: 0 <br /> <br />~ 1HiS IS A VALID PERMIT · THiS P~R~IIT EXPIRP..S 180 DAYS FRC)R iTS I~E DAIE. <br />CONSIRUCFION C~ FOR A PERIOD OF 180 DAYS, OR if ~sr~crl~ FAILS FO REEF ALL <br />RE~iREMBNf5 OF STALE LA~ ~D ~Ri~ COUNTY BUiLDiNG ~D Z~ING ORDINANCES, ~Hi~ <br />~ALL BEC~ NULL ~O VOIO. <br /> <br />RE~ARK~: N~W"RBS <br />HDiGHI: 14 fOIAL 5Q Pit 1421 STORi~: <br /> <br />LTONALD E. NOOOLEY, ¢FlARION O~,~JNIY BUiLDiNG OE?iCiAL / BY <br /> <br />~ORr4 # ]~C ~-~ REV 4/90 OF FICE COPY <br /> <br /> <br />