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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 9.7301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4:30 P,M. - 8:00 A,M, <br /> <br /> am per orming work on & Property I own or occupy. <br /> lame registered builder OR( ) the author zed reDreaenta <br /> o~ a registererJ builder, <br /> The work will be pedormed by ~ registered builder. <br /> Other , , <br /> <br />DATE: 04/20/8? TINE: 1:11:51p <br /> <br />OWN~R~ RICHARDS, DENNIS ' TAX LOT: ?CATEGORY: R <br /> <br /> 285 CLEVELAND STREET <br />AUMSVI LLE OR , 97325 <br /> <br /> ONE AND TNO FAMILY D~ELLINE~ <br /> <br />SAME <br /> <br />~JONE: 749-'2616 <br /> <br />SITE NUMBER: 1127 <br />VALUATION: $3,800,80 <br /> <br />LOT. 8LOCK; ' i SECTION: 2~- : TOWNSHIP; <br /> <br />BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />RICHARDS, DENNIS <br />SAME <br /> <br />PHONE: 749~2616 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEN <br />FLEET SURCHAF~E -ZONE 3 <br />STATE SURCHARGE <br /> <br />RANGE: ZONE: MAP: <br /> 244 RS <br /> <br />SRREG', ~.O~: ~ CORNER; N <br /> <br />9001678 <br /> <br />51 <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSE,%SED FEES <br />PREN'IOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />BALANCE DUE <br /> <br />PAYEE: RICHARDS, DENNIS <br />RECEIVED BY: dm <br /> <br />* THIS IS NOT A PERMIT. THIS <br />FOLLOWING tflUST BE COIflPLETED. IT <br />ALL NECIBSSARY INFOR~TION HAS <br /> <br />PLAN REVz EN: <br /> <br />SEPTIC: BY <br />ZONINGt BY .......... OAT <br /> <br />ANDUNT <br /> $44,5~ <br /> $28_93 <br /> <br />$79.05 <br /> <br />$79.05 <br /> <br />$0.00 <br /> <br />INVOICE NO: 2'166 <br />TYPE: JN CHECK ~: 0 <br /> <br />IROIJEH A REVIBI PROCE~S~ERETHE <br /> OF THE APPLICANT TO A.AgJRE THAT <br /> <br />ION: BY ........ DATE ........... <br /> <br /> <br />