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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'OO AM <br /> <br />I ha~e road and agree to fhe ~erm8 statod on the reverso side of <br /> <br />~IGNATURE OF APPLICAN~ <br /> <br /> DATE <br /> <br />12/04/89 TIME: t5=46:28 <br /> <br />CATEGORY <br /> <br />OCCUPANCY RESt OENTIAL <br /> <br /> 855 8TH <br />AUIv~VILLE OR 97325 <br /> <br />AU~4SVILLE NO N~ or ,EOR00MS <br /> <br />MAILING AOOnEgS SINGLE FAMILY DWELLINGS <br /> <br />FO 8OX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769-7364 <br />LOT ~LOCK <br /> <br />SECTION fOWNSHIP <br /> <br /> OELIV~AR III <br /> <br />SITE NUMBER: 8926 <br />~¢~JATION: zo~2,800-00 MAP <br /> <br />3 <br /> <br />WIDTH19 DEP~ 5 ^nEA 25 UNITS 8S iR~ LOT~/~ OOBNEn R~ ~ 1 <br /> ?5 100 7500- ~F NO , NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION <br /> <br />20482 <br /> <br />CONTRACTOR, NO. 55493 <br />~OM DORAN <br />PO BOX 185 <br />CgJBLIMITY 97285 <br />PHONE: ?69-?364 <br /> <br />ARCHITECT/ENGINEER, NO+ NMLTI <br />MULTI/"I'ECH <br />1155 13TH ST SE <br />SALEM OR 9?302 <br />PHONE= 362-922? <br /> <br /> IT~ <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILOING STATE SURCHARGE <br /> <br />QUANTITY <br /> <br />TOTAL /~ESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AN~)UNT <br /> $206.50 <br /> 134,23 <br /> $3,84 <br /> $10,33 <br /> <br />354,90 <br />354,90 <br />$0.00 <br /> <br />BALANCE DUE $O.00 <br /> <br /> PAYEE ~ <br /> RECEIVED BY: PB TYPE= CHECK ~: 0 <br /> <br />* THIS IS A VALID PERMIT ~ TH~S PERMIT EXPIRE8 180 DAYS FROM ITS ~SSUE BATE. IF <br />CONSTRUCTi[ON CEASES FOR A PERIOD OF 180 BAYS, OR ~F CONSTRUCTION FAILS TO NEET ALL <br />REOUIREMENTS OF STATE LANG AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS PERMIT <br />SHALL BECOME NULL AND VOID. <br /> <br />SETBACKS: FR_20 LS_5 RS_5 RR_$ SP ..... <br /> <br />BFJVIARKS: NEW RES <br />HEIGHT: t4 TOTAL SQ FT: 1328 STORIES: 1 <br /> <br />DONALD E, NOOOLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />PLAM. ACT~/.~: <br /> <br /> <br />