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MARION COUN,TY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, O'~EGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4 30 RM - 8 00 A,,M ~'~ ~..., <br /> <br />I am a registered builder OR t I the authorized representative S~GNATUPE OF APPLICANT <br />of a regmtered builder ~ <br /> <br />DE~TF~f~ 03/16/99 TIME: 2.'47.* 18~ TAX LOT CATE6Om <br /> LIMING, LARRY RESiDENTiAL <br /> <br />AU~VI LLE OR 997325 <br /> USE Or 8UILDNG MARION ~NTY NO NO <br /> <br />MAILING ASSFtESS SINGLE FAMILY DNELLINGS <br /> <br />2551 GREY OAK LN S <br />SALEN, OR 97302 <br />RHONE: 581-9400 SITE NUMBER: 6759 <br /> VALUATION= $0.00 <br /> <br />WIDTH DEPTH AREA 34 UNITS 6S IRSEG LOT 2W OORNE~ EFU 51 <br /> NO NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NOll <br />i IN LARRY <br /> <br />SALEM, OR 9?302 <br />PHONE: 581-9400 <br /> <br /> ITEM <br />BUILDING FEE <br />FLEET E4JRCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br /> 9014613 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $10.00 <br /> $3.94 <br /> $0.50 <br /> $0.50 <br /> <br />$14,84 <br /> $0.00 <br />$14.84 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: LIMING, IZ~;~,Y~ 15495 <br />RECEIVED BY: pn ~.[_/=~=_.~ - ~ TYRE: OK CHECK <br /> 515 <br /> <br />$ THIS IS NOT A PERMIT. THIS APPLICATI~ ~ST ~ ~ A R~I~ P~ ~ERE THE <br />FOLL~ING MUST BE COMPLETED. IT IS ~E RES~NSIBILI~ OF ~E APPLIC~T TO ~SURE THAT <br />ALL NECESSARY INFO~TION H~ 8E~ PROVIDED. <br /> <br /> CITY JURISDICTION: BY <br /> <br /> i~'SEPTIC: BY............. DATE ............... <br />Z~ING: 8~ DATE~Z]~SETBACKS: FR-~~ ........ LS- /¢ <br />R~R~: ~EXZST ADD R~5567 <br />HEIGHf: <br /> <br /> DATE ......... <br /> RS-_E'_~~ RR%Z°£_~ SP- <br />TOTAL SO PT.* 0 STORIES: 1 PLAN.ACTION: <br /> <br /> <br />