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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 />CODE-A-PHONE 4 30 PM - 8 00 AM <br /> <br /> DATE: 0?/27/89 TIME; 11:13:00a <br />OWNER OLSON, RODERIC <br /> <br />RESI DENT [ ~L. <br /> <br />SITUS ADDRESS <br /> <br /> 680 MICHAEL WAY <br /> &U~V I LLE <br /> <br />OR 9?325 <br /> <br />UCE OF BUILDING <br /> <br /> SINGLE F&MIL, Y ~ELLIN~ <br /> <br /> 4833 JUNIPER CT N <br /> KEIZER OR 97303 <br /> PHONE: 393~0769 <br /> <br />WIDTH 95 DGPTH <br /> <br />AUP;C~VI LLE NO <br /> <br />190 AREA i 4250. 0UN~TS <br /> <br />SUBDIVISION <br /> PARCEL At3 <br /> <br /> SITE NUMBER: <br /> VALUAT I ON: <br /> <br /> RANGE <br />8S <br />SE IRREG LOT NO <br /> <br /> 7950 <br /> $54,600.00 <br /> <br />OORNE~NO <br /> <br />TYPE: BUILBING <br /> <br />CONTRACTOR, NO. <br />OLSON, RODERIC <br />4833 JUNIPER CT N <br />KEIZER OR 9?303 <br />PHONB~ 393-0769 <br /> <br />PERMIT OR APPLICATION NO: 9017709 <br /> <br /> ARCHITECT/ENGINEER, NO, <br /> <br /> ;TEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />~HONE: <br /> <br />TOTAL AE. SESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />OUANTITY <br /> <br />&MOUNT <br /> ~29B_00 <br /> 193,70 <br /> $3.s4 <br /> $14.90 <br /> <br />$510.44 <br /> $o.oo <br />$510.44 <br /> <br />BALANCE DUE $0,00 <br /> <br />PAYEE: EMERY & SONS CONST. /¢~ . 18807 <br />RECEIVED BY: ~B ~.,~,2 . TYPE. IN CHECK ~: O <br /> <br />· THIS IS NOT A PERI,lIT. THIS APPLICATION NUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING ~dST 8E C~PLETED. ZT IS THE R~SIBILITY OF ~E APPLICANT TO ~URE THAT <br />ALL NECESSARY INFOR~ATI~ H~ 8E~ R~VIDED. <br /> <br />SEPTIC: BY ................ DATE <br />ZONING: BY <br /> <br />REMARKS: NEW RES <br />HEIGHT: 18 TOTAL SQ FT; <br /> <br /> C~TY JURISDICTION: BY ........ DATE ......... <br /> <br />SETBACKS: ~R-20 LS-5 RS~5 RR~5 SP~_ .... <br /> <br />1560 STORIES: I PLAN.ACTION; <br /> <br />OFF!CF COPY <br /> <br /> <br />