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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 A M <br /> <br />SIGNATUR£ OF APPLICANT <br /> <br /> DAlE __ <br /> <br />o*~TE: 10/03/89 <br /> <br /> OORAN, TON <br />SITUS ADDRESS <br /> <br />TIME: 9:43:04a <br /> <br />TAX LOT <br /> <br />CONSTPUCTION TYPE <br /> <br />90061-031 <br /> <br />RESIDENTIAL <br /> <br /> g?0 10TH PL <br />AU~VILLE <br /> <br />OR 97325 <br /> <br /> CONTRACT CITY <br /> <br />AUMSvI LLE <br /> <br />NO <br /> <br />MAILINGADD~ESS SINGLE F~C4ILY DWELLINGS <br /> <br />PO BOX 188 <br />SUBLIMITY OR 97385 <br />PHONE: 769-7364 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br />SUBDI¢~SION <br /> <br /> SITE NUMBER: <br /> ~ANGyALUATION:zoNs <br /> <br />8514 <br /> $29 po.o0 <br /> <br />WIDTH 4 DFPTH 1 AnEA 25 UNITS 9S IRREG ~T <br /> 70 105 7350.00 SF <br /> <br />2W CORN~M RS 51 <br />NO NO <br /> <br />TYPE: BUILDING <br /> <br />CONTRACTOR, NO. <br />TON DORAN <br />PO BOX 185 <br />SUBLIMIIW 9?385 <br />PHONE: ?69-?364 <br /> <br /> PER~IT or APPLICATION NO: <br />55492 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REMIE]4 <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURC;HARBE <br /> <br />9019346 <br /> <br />ARCHITECT/ENGINEER, NO. MULTI <br />HULTI/TECH <br />1155 13TH ST SE <br />SALFJ~ OR 9?302 <br />pHONE: 363-9227 <br /> <br />QUANTITY <br /> <br />TOTAL AS~SE~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT <br /> ~188.50 <br /> 122.53 <br /> $3.84 <br /> $9_43 <br /> <br />$324.30 <br /> $0_00 <br />$224.30 <br /> <br />BALANCE t~JE $o_00 <br /> <br />PAYEE: TOM DORAN ,/'/¢~ 20515 <br />RECEIVEDBY: P8 ',~// TYPE: IN CHECK ~: 0 <br /> <br />· THIS IS NOT A PER~4IT. THIS APPLICATION I~UST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> <br />CITY JURISDICTION; BY ........ DATE <br /> <br />¢~S~5 RR-5 <br /> <br /> TION. HAS BEEN PROVIDED. <br />ALL. NECESSARY INF;]R~ DATE_.~,~.:.~__ <br />PLAN REVIEW; 87~_~_ <br />SEPTIC: BY ...... BATE .............. <br />ZONING= BY ......... DATE ......... SETBACKS= FR-20 LS-5 <br /> <br />REMARKS: NEW RES <br />HEIGHT: 14 TOTAL SO FT: 1320 STORIES= I <br /> <br />pLAN. ACT I ON: <br /> <br /> <br />