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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 /> · ' 24HOURCODE-A-PHONE:SSS-7904 ~~~' <br />~'~ I am a registered builder OR ( ) the authorized reDresentative SIGNATURE OF APPLICAN <br /> of a registered builder, <br /> <br /> DATE: 10/16/92 TIME: 12:50:19 <br />OWN ~ R'. TAX LOT'. CATEGORY: <br />: LIFFLANOER~ JOHN & O~ROL 57665~000 . RESIDENTIAL <br /> <br /> 8~6LE F~HZLY O~ELL[N6S 4 <br /> <br />5290 BALSAM DR B <br />SALEH OR 97502 <br />PHONE: 365-6418 <br /> <br />~K 378-5738 <br /> <br />SITE NUMBER: 92-0i640 <br />VALUATION: $118,000.00 <br /> <br />TYPE: DWELLING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />LZFFLANOER, JOHN & CAROL <br />5290 BALSAN OR $ <br />SAL. EN OR 97302 WK 378-3758 <br />PHONE: 565-6418 <br /> <br />ITEM <br />DWELLING BUILDING FEE <br />DWELLING PLUMBING <br />DWELLING MECHANICAL <br />OWELLING ELECTRICAL <br />OWELLINQ STATE SURCHARGE <br />DWELLING PLAN REVIEW <br />DWELLING ZONING SURCHARGE <br /> <br />PAYEE: LIFFLANOER~ JOHN & CAROL <br /> <br /> 904~265 DP <br />ARCHiTECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY AMDUNT$s71_19 <br /> $208.28 <br /> $51_89 <br /> $Z62.64 <br /> $49.70 <br /> $~$5.00 <br /> $i5.00 <br /> <br />$1,243.70 <br /> $0_00 <br />$1245.70 <br /> <br /> $0.00 <br />45546 <br /> <br /> RECEIVEO BY: CL TYPE: OK CHECK ~: 1379 <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION RUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> <br />LL NECESSARY INFORM~TI,O~I.HAS BEEN PROV!DEO, <br /> <br />CITY JURISDICTION: BY DATE <br />REMARKS: OWELLINQ (SE~TT~-56~PL. S;~-- <br /> <br />HEIQHT <br />TOTAL SQ FT: <br />STORIES: 2 <br />PLAN.ACTION: <br />ENERGY PATH: 1 <br /> <br />~550 <br /> <br />SETBACKS: FR..,.~...~ <br /> <br /> OFFICE COPY <br />FORM # MC 15-58 REV, <br /> <br /> <br />