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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 <br />CODE-A-PHONE 4;30 P.M. - 8:00 A.M. <br /> <br />Other <br /> <br />DATE; <br /> <br />DATE: 01/22/90 TIME: 11:28:52 <br />OWNER: ; TAX <br /> ZAHRADN I K, STEVE <br /> S~TUS ,~D0~ESS~ ; C0~f~Uc~0~ <br /> <br />KEIZER OR 97303 ~ <br /> EE~ER :: NO <br /> <br />MAILING ADDR[S$;SINGLE FANtLY DNEI~INGS' <br /> <br />673 ROCKNOOD ,ST SE <br />SALEM, OR 9?306 <br />f:~IONE~. 378-7411 <br /> <br />LOT: BLOCK: <br /> <br /> 109 <br /> WIDTH: DEPTH: <br /> 70 <br /> <br />NCNARY EBTATE$ Prig5 <br /> <br />SITE NUNBER: 9258 <br />VALUATION: $106,735.00 <br /> <br />CATEGORY; <br /> RESIDENTIAL <br />OCCUPANCY: <br /> <br /> Rw3 <br />OCCUPANT LOAD: <br /> <br />100 : 7000. SF i NO ; NO <br /> <br />MAP; <br /> <br />NO OF eEORO0~$ <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO. <br />ZAHRADNIK, STEVE <br />673 ROCKn, CDOD ST SE <br />SALEN, OR 97306 <br />PHONE: 378-7411 <br /> <br />PEF~4IT OR APPLICATION NO: <br /> <br /> I TEI~I <br />BUILDING FEE <br />PLAN REVI EN <br />CURB DRIVENAY, BUILDING INSPECTION <br />CURB DRIVEWAY, ¢~JBLIC HORKS <br />FLEET ,.SURCHARGE -ZONE 1 <br />BUILDING STATE SU~ARGE <br />ZONING SURCHARGE <br /> <br /> 9021424 <br />ARCHITECT/ENGINEER, NO. <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $450.50 <br /> $292.8~ <br /> $o.5o <br /> $7.00 <br /> $1.28 <br /> $22.53 <br /> $22.53 <br /> <br /> TOTALA,.~SESSED FEES $797.17 <br /> PREVIOOS RECEIPTS $0.00 <br /> THIS RECEIPT $797.17 <br /> BALANCE DUE $0_00 <br /> PAYEE: ZAHvI~. DN i K, <br /> RECEIVED BY. PR ~2~ ' ~ " ~PE: OK CHECK ~: 22719 <br /> , ~%%:~,~ ~: ~ ~ , ............... ~08 <br />~ THIS IS NOT A PE~ZT. THZS APPL[OATZ~ ~ST:~ TH~ A REV[EN P~ ~ERB THE <br />FOLL~[NG ~ST BE ~PLETED. Z~ [8 ~E R~S[8[L[~ OF ~E APPL[~T TO ~RE THAT <br />ALL NEC~RY ~NFO~T[~ H~ BEEN P~VZDED; <br /> <br /> PUBLIC ~RKS: BY .......... ~TE <br /> SEPTZC: BY DATE <br /> <br />DATE <br /> <br /> <br />