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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-$147 <br />CO~-A-PHONE 4::30 P, Mii <br /> ' 8;;00 AM, <br /> <br />of ~ registered budder, <br /> <br />Other_ <br /> <br /> this document <br /> <br />CATE: 10/21/88 <br /> FMH,A <br /> <br /> 910 LINCOL~ ST <br />AUNfSVILLE OR 9?325 <br /> <br />SINGLE FAMILY OJAELL I NGS <br /> <br />165S 25TH ST SE <br />SALEM OR 9?302 <br />PHONE: 399-5751 <br /> <br /> 90081-281 RESI DENT,,I AL <br /> 5N ~ R3 <br />~UNSV I LLE NO <br /> <br />SITE NUMBER= 5824 <br />VALUATION '. $32,000_ O0 <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: 9012034 <br /> <br />CONTRACTOR~ NO. 9891 <br />OREGON HOU,~ING & AS. SOO. <br />t395 LIBERTY ROAD SE <br />,%.~LB~, oREGON 9?302 <br />PHONE; 585-8193 <br /> <br /> ITEM <br />BUILDING FEE <br />PL~ REVIEW <br />FLEET SURCHAk"~E -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />ARCHITECT/ENGINEER, NO. <br />OAVID G. POOL <br />6493 DORAL DRIVE SE <br />SALEN, ORE 9730~ <br />PHONE: 363-036L <br /> <br />TOTAL ASSE$.~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />POOL <br /> <br />QUANTITY <br /> <br />A~OUNT <br /> 131.30 <br /> $10.~o <br /> <br />$347~24 <br /> $o.0o <br />$347.24 <br /> <br />BALANCE DUE $0.00 <br /> <br />RECEIVEO 8Y~ P8 ..... ~ ...... ~ ..... t ~: ~ ~ n <br /> <br />~ THIS IS NOT A PERMIT. THIS APPLICATION fcU~'F~O THROUGH A R~IEN P~ ~ERE TH~ <br />FOLL~ING ~ST 8E ~MPLETED. IT IS ~E R~S~SIBILI~ OF THE APPLIC~T TO A~URE THAT <br /> <br />SEPTIC: 8Y .......... DATE <br />Z~ING; ~Y .......... DATE SET~ACKS: FR-20 <br /> <br />RE~,4ARKS: NEN RES <br />HEIGHT: TOTAL SQ PT: 1328 STORISS: 1 <br /> <br />CITY JURISDICTION: 8Y~ DATE~ <br /> PLAN~ACT~CN: <br /> <br />~ # ~c ~ss~ ~ ~,a7 OFFICE COPY <br /> <br /> <br />