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MARION COUN~;~U1LDING INSPECTION <br />SF~ATOr~BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 58,8-5147 <br />CODE-A-PHONE 4 30 PM - 800 AM <br /> <br />DATE: 03/14/39 TIME: 3: 12:04p <br /> DORAN ,. TOM <br /> <br /> 835 8TH ST <br />AUNSVILLE OR 97325 <br /> <br />SINGLE FAMILY D~ELLINC-~S <br /> <br />PO BOX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769-7364 <br /> <br /> TAX LOT <br /> 90040-300 <br /> <br /> CONS'~RUCTION TYPE <br /> <br />AUMSVI LbE NO <br /> <br />LOT BLOCK SECTION TOWNSHIF~ <br /> <br /> 17 5 25 <br /> <br /> 75 100 7500.00 <br /> <br />DELMAR III <br /> <br /> SITE NUMBER; <br /> VALUATION: <br /> <br /> RANGE <br /> <br />8S 2W <br />SF NO <br /> <br />RES I DENT I AL <br /> <br />6738 <br /> $32,500.00 <br /> <br />TYRE: BUILDING PERIqIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO+ 55493 <br />TOM DORAN <br />c'O 80X 185 <br />SUBLIMITY 97385 <br />PHONE: 769-7364 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIE~ <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATESU~ARGE <br /> <br /> 9014545 <br />ARCHITECT/ENGINEER, NO. <br /> <br />TOTAL ASSESSED FEES <br />PR6VICtJS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> 206.50 <br /> 134.23 <br /> $3.84 <br /> $10.33 <br /> <br />$354.90 <br />$354.90 <br /> <br />RECEIVED BY: TYPE: IN CHECK ~: <br /> <br />~ THIS I$ NOT A PE~IT, THIS APPLICATI~ MUST ~ ~ A R~I~ P~C~ ~ERE THE <br />FOLL~ING ~ST BE C~PLETED. IT I$ THE RES~SIBILITY OF THE APPLIC~T TO AS~RE THAT <br />ALL NECE~ARY INFO~TION HAS 8E~ P~VIBED. <br /> <br />PLAN REVIEW: BY ........... DATE <br /> CITY JURISDICTION: BY ......... DATE <br />SEPTIC: 8Y ............... DATE <br />ZONING: BY ......... DATE ........ SETBACKS= PR-20 LS-5 RS-5 RR-5 <br /> <br />REMARKS: N~ RES <br />HEIGHT: 14 TOTAL SQ FT: 1328 STORIES: 1 PLAN.ACTION: <br /> <br />OFFICE COPY <br /> <br /> <br />