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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HiGH STREET NE <br /> SALEM, OREGON 77301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M. <br /> <br /> The work will be performed by e registered btdlder, <br /> <br /> DATE: 07/06/8? TIME: 3:33:19~ <br />OWNER'. SAL.CHENBERG, TOM <br /> <br /> 5N ~J <br /> 58?2 VILLAGE VT.E~4 CT SE <br /> AbC4,..V'J:L,_.~: OR 97325 CONTRACT CITY UGB: O00UPANT LOAD <br /> MC N <br /> <br />MAILING ADDRESS; <br /> <br /> SAt4E <br /> <br /> PNCNE: 352-8466 <br /> <br />VILLAGE V[Ek <br /> <br />SiTE NUHBER; 1823 <br />VAL _JAT T ON: <br /> <br />LOT. ' S[.OCK: ' SECTION'· TOWNSHIP: RANGE ZONE <br /> 20 '! 8 8S '~ ~ <br /> <br />WIDTH. DEPTH. AREA: ~_500ocUN~TS AC RRES LOT: ~ OORNEF <br /> <br />AR <br /> <br />MAP' <br /> <br />TYPE: 8U;LDiNG <br /> <br />CONTRACTOR, NO. <br />SALCHENBERG. TOf~ <br />S~4E <br /> <br />PHONE~ ,,6 .... ~6o <br /> <br />PERN;T OR APPLICAT;ON NO: 9003023 <br /> <br /> A~.h~TEC¢/ENGZNEER, NO. <br /> <br />SU ,~LDING FEE <br />8L;iLDZNG STATE ~ '~'~' ' <br /> <br />PHONE: <br /> <br />TOT,AL ASSE&SSO FEES <br />PRE'v'i ous <br />THiS <br /> <br />QU,ANT ~ 'TW, AMOUNT <br /> $10~00 <br /> $0.5(.' <br /> <br />:~ I O. 50 <br /> $0, O0 <br /> <br />BALANCE DUE $0,0O <br /> <br />, AYE ~ALCHENBERG. ~0 , Z~ i,qVO.~ N~. <br />RECEIVED 8Y: cr ~ TYP~: CA CHECK ~: <br /> <br />~ ~IS IS NOT A PE~IT. ~IS APPLICATI~ ~ST ~ ~ A R~I~ P~ ~ERE <br />FOLL~ING ~ST BE ~PL~ED. IT I5 [8ILI~ OF ~E APPLIC~T TO ~RE ~AT <br /> <br />· ALL NECEExSARY INFOI:;~ATZON HAS BEEN <br /> <br /> PLAN ~EV~Ek~: 8 ._ DA' <br /> <br /> SEPTIC; BY <br /> ;.'.ONING: 8Y -- DATI <br /> <br /> RE~A~KS; D~ OF STRUC%u~ <br /> TOT,AL SO <br /> <br />RS ---~ RR SP <br /> <br />OFFICE COPY <br /> <br /> <br />