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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 588-514'7' 8:00 - 4::30 <br />24 HOUR CODf=-A-PHONE:: 58847904 <br /> <br />DALE: 08/21/91 <br /> OORAN, <br /> <br /> 950 10TH PL <br />AUD4~VILLE OR 97325 <br /> <br />AUIYE~V 1 LLE NO <br /> <br />SINGLE FAMILY ,OWELL,[N~,,~ <br /> <br />GiLgX}~ ADON ~2 <br /> <br />PHONE: SiTE NUMBER; <br /> VALUA'f I ON: <br /> <br /> 3 1 ~,5 8S 2W <br /> tO ] 05 .SF Y~ <br /> <br />CATEGORY <br /> RESI DBN 1 J AL <br /> <br />NO OF ~IFDR00M$ <br /> <br />3 <br /> <br /> 13888 <br /> $8Y, 0O0. oo <br />ZONE MAP <br /> <br />CORNER <br /> <br /> NO <br /> <br />IYPg: DWELLING PEf;~llr OR APPLICAIiON NO: 9034818 DP <br /> <br />GONfFb~.CIUR, NO_ 55493 <br /> <br /> BOX 185 <br />5U~LIMIfY 97285 <br />5~HONE: 769-?364 <br /> <br />ARCHII5CI/ENGINEER, NO. <br />PHONE: <br /> <br /> if~ <br />LIbELLiNG BUILDIN~ FEE <br />D~ELLING PLUIV~iNG <br />LIbEL,LING MECHANICAL <br />DWELLING gLECfRICAL <br />D~NELLiNG SfA'IE SURCHAR(BE <br /> <br />TOTAL A~ESSEO FEES <br />PREViOUs RECEIPTS <br />lHI5 RECEIPT <br /> <br />$228.48 <br /> <br /> 20//6 <br /> $65..o0 <br /> $19.88 <br /> <br />$6U2.49 <br /> $o.o0 <br />$602.49 <br /> <br />BALANCE OU~ <br /> <br />PAYEE: f(~4 [DPAN ~ <br />RECEiVeD BY: P~ ~ IYPE~ IN <br /> <br /> 36503 <br />CHECK ~: 0 <br /> <br /> ~ IHIS IS NO[ A PEF~IF. THiS APPLICATION I',lusr Go 'rHROOCel A RE¥iE~ PROCE~ I~HBRE <br />FOLLO~iNG MUSI BE COMPLE1ED. iT iS THE RESPON$IB~Li1Y O~ 1HE APPLICANI lO ASSURE THAi <br />ALL NEC~ARY INFOR~4AFION HAS BEliN PROVIDED. <br /> <br /> CI]Y JURiSDiCTiON; BY <br /> <br />5EPFIC; ~Y OAFE <br /> <br />ZONING: BY DATE SE'IBACKS: PR 20 LS 5 R~_5 RR.5 5P <br />REMARKS: NEN'RES <br /> <br />HE[GHI: l& /DIAL ~ ]A20 STORI~: ] PLAN,AC~[ON: <br /> <br />DAlE <br /> <br />FORM # MC 15-56 REV 4P30 OFFICE COPY <br /> <br /> <br />