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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 90 PM - 800 AM <br /> <br /> Other <br /> <br />DATE: 04/03/90 TIME: 14:11:32 <br /> LAYMAN, <br /> <br /> 240 PATTON RD <br />DETROIT OR 9?342 <br /> <br />STRUCTURES OTHER THAN BUILDINGS <br /> <br />P.O. 80X 565 <br />DETROIT, OR g73~2 <br />PHONE: 854-3?64 <br /> <br />WIDTH <br /> <br /> BLOCK S~¢_, f'lON TOWNSNIP <br />1 21 1 10 <br /> 0, <br /> <br />TAX LOT <br /> 90220-000 <br /> <br />CONSTRUCTION TYPE <br /> 5,,,,,N <br /> <br />CONTI~ ACT CITY IJGB <br />DETROIT NO <br /> <br /> CONMERCI A~-,~ i <br />000 U~AN/LOAD i <br /> <br />NO OF BEDROOMS <br /> <br />SUBDIVISION <br /> <br />HANMOND ADDITION <br /> <br /> SITE NUMBER: 9800 <br /> VALUATION ~ $250. O0 <br />RANG~ ZONE MAP <br /> 5E OG <br /> NO NO <br /> <br />TYPE: ~UILDING PERt/IT OR APPLICATION NO: 9022952 <br /> <br />CONTRACTOR, NO. 08IE ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIE~ <br />FLEET SURCHARGE -ZONE 7 <br />BUILDING STATE SURC~HARGE <br /> <br />PAYEE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY <br /> <br /> AMOUNT <br /> $10.00 <br /> $6.50 <br /> $8.96 <br /> $O.5O <br /> <br /> $25.96 <br /> $0.00 <br /> $25.96 <br /> <br /> $0.00 <br />24323 <br /> <br /> RECEIVED BY: c] TYPE: IN CHECK ~: 0 <br /> <br /> * THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A :REVIEW PROCE~,S NHERE THE <br />FOLLONINGNUST 8E COf4PLETED. ;ZTIS THE RESPONSIBILITY OFT HE APPLICANT TO AS.SURE THAT <br /> <br />ALL NECESSARY INFORf~. T,J'ON HA~ ~EI~ PROVIDED. <br /> <br /> PLAN R~I~: BY ._ DATE ........... <br /> <br /> SEPTIC: DY DATE <br /> Z~ING: BY ~TE <br /> <br /> HEI~T¢ 10 TOTAL ~ FT: <br /> <br />CITY JURISDICTION: 8Y <br /> <br />SETBACKS: FR ......... US ....... RS .... RR ......... SP .... <br /> <br /> 0 STORIES~ 0 PLAN.ACTION: <br /> <br />O~FIC~ COPY <br /> <br /> <br />