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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 />c{~DE-A-PHONE 4:30 PM.. - 800 AM. <br /> <br /> I am a registered builder OR ) the Authorized representative <br /> <br /> The work will be performed by a registered builder <br /> Other <br /> <br /> this document <br /> BATE; 10/25/88 TIME: 12;47:35p <br />OWNER <br /> F74HA <br />F~¢Y0 s ~DO~ESS <br /> <br /> 910 LIN~ ST <br />~ ~VILLE OR 97~25 <br /> <br /> SIN~E F~ILY ~ELL~ <br /> <br />1~55 25TH ST SE <br />~LEM OR 97302 <br />~ ~ONE: 399-5751 <br /> <br />DATE . <br /> <br /> TAX LOT <br /> 90061-261 <br /> CON~+R00¥1ON TYPE <br /> 5N <br /> <br />AUMSVI LLE_. NO . <br /> <br />' 10 3 25 <br />IwFS~-~ iD~PTH AREA UNITS <br />~ 87 ! 97 <br /> <br />TYPE: BUILDING PEFf4IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 9891 <br />OREGON HOJSING & ASSOC. <br />1398 LIBERTY ROAD SE <br />SALEN, OREGON 97302 <br />FHONE; 585-6193 <br /> <br /> ITEM <br />BUILDING FEE <br />pLAN REVIEN <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE BURCHARGE <br /> <br />GILDOW ~2 <br /> <br />CATEGORY I <br /> RESI DENI~IAL R <br /> J <br />OCCUPANCY:: [ <br /> <br />OCCUPANT LO~6' I <br /> <br /> SITE NUMBER: 5824 I <br /> VALUATION: $32,000.00 <br /> RANGE iZONE MAP' <br /> <br /> 8S 2W ~ 51 <br /> <br /> SF <br /> <br /> 120~4 <br /> <br />ARCHITECT?ENGINEER, NO. POOL <br />DAVID G. POOL <br />5493 DORAL DRIVE SE <br />~¢.LEN, ORE 97302 <br />PHONE= 363-0~5L <br /> <br />TOTAL A,.c~F..,E~ED ,FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br />BALANCE <br /> <br />PAYEE: <br />RECEIVED BY: F9 TYPE: <br />.......... ~,%,~ - -'"~ ~% _ _--"~ ,,'""~%~-~ _ ~ ~ ~..~-'-'""~ ~ . ....... <br /> <br />(~JANT I 'FO <br /> <br />ANOUNT <br /> $202100 <br /> $131.30 <br /> $3.84 <br /> $10.10 <br /> <br />$347.24 <br />247.24 <br /> $o.oo <br /> <br />$0.00 <br /> <br />CHECK <br /> <br /> THIS IS A VALID PERMIT :~ THIS PEF~IT EXPIRES 180 DAYS FRON ITS I~E DATE. IF <br />~ST~OTI~ C~ FOR A PERIOD 'OF 180 DA~, OR IF ~ST~OTION FAI~ TO ME~ ALL <br />RETIREMENTS OF STATE ~S ~O ~RI~ C~NTY DU~LDI~ ~O Z~ING ORDIN~C~, ~ZS ~ER~IT <br />~ALL BEdE NULL ~D VOID+ <br /> <br />SETBACKS: FR-20 LB-5 RS-5 ER'-5 <br /> <br />REMARk: NEN RES <br />HEIGHT: TOTAL ~ FT: 1328 STORIES: 1 <br /> <br />DONALD E. WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />PLAN. ACT ION: <br /> <br />FORM ~ MC 3~'5~ nE~/ e,e~ OFFICE COPY <br /> <br /> <br />