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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: 888-7904 <br /> <br />Other <br /> <br />I have read 8nd agree to the terms stated on the reverse side of <br /> <br /> DATE: L2/08/92 <br />OWNER~ <br /> HOERS, RAY <br />SITUS ADDRESS: <br /> <br />TIHE; 8:2i:;0 <br /> <br /> 320 OETROIT RO <br /> DETROIT OR <br /> <br /> USE OF BUILDING; <br /> SINGLE FAHiL. Y DWELLINGS <br />!MAIL,NB ADDRESS: <br /> <br />97542 <br /> <br />PO BOX 581 <br />OETROif OR 97342 <br />PHONE:: 854'-3201 <br /> <br /> 90210--000 RESIOEN~ IAI_. <br /> <br /> 5-N R--3 <br />' DETROIT NO <br /> <br />BUBOIV SION: <br /> <br /> )ETROIf LAKE SHORES <br /> <br /> 8IrE NUMBER: 92-05655 <br /> VALUATION: $lB.O00.O0 <br /> <br />LOT BLOCK: , SECTiONi ' TOWNSHIP' <br /> <br /> I 1 10 <br />W~DTN: DEPTH' AREA UNITS <br /> 138 266 36708. SF <br /> <br />RANGE ZONE <br /> <br /> 5E RS <br /> RREG. LOT. CORNER <br /> Nr NO <br /> <br />MAP <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRAC'FOR> NO. <br />HOERS. RAY <br />PO 80X <br />DETROIT OR 97342 <br />PHONE:: 854-'5201 <br /> <br /> ITEM <br />BUiLDINO FEE <br />PLAN REVIEW <br />BDILDINB STATE SURCHARGE <br /> <br /> 9044289 <br />ARCHITECT/ENGINEER, NO.. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />ANOUN'I <br /> $110.30 <br /> $71.83 <br /> $5.53 <br /> <br />$187.86 <br /> $0,00 <br />$~87_86 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: HOERS, RAY ~ 46a$B <br /> RECEIVED BY: PB ................. ~ .................... TYPE:' IN CHEC <br />~ THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MOST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORMATION MAS BEEN PROVIDED. <br /> <br />ZONING: BY DATE <br /> <br />CITY JURISOICTION: SY .............. DATE <br />REMARKS: ROOF OVER MOBILE MOHE <br /> <br />HEIGMT: SETBACKS: ~R_.2'O <br />TOTAL SQFT: 1848 L8..5 <br />STORIES: 1 RS S <br />PLAN~AC'TION: <br />ENERGY PATR: SP ....... <br /> <br />OFFICE COPY <br /> <br /> <br />