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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 P.M - 8:00 AM <br /> <br />of a re~istorod builde~ <br />The work will be performed by a re~istered builder <br />Other <br /> <br />SIGNATURE OF APPL, ICANT <br /> DATE <br /> <br /> DORAN, TOO <br />E~ITUS ADDRESS <br /> <br />TIME: 11:12=36 <br /> <br /> 895 8TH <br />AUI'4SVILLE <br /> <br />USE OF Bt.~ILDING <br /> <br />OR 9?225 <br /> <br />MAILING ADDRESS SINGLE FANILY D~ELLINGS <br /> <br />PO 8OX 188 <br />SUBLIMITY OR 97385 <br />PHONE: 769-?364 <br /> <br />LOI' BLOCK SECTION TOWNSHIP <br /> <br />TAX LOT CA'IEGORY <br /> 90040-360 RESIDENTIAL <br /> <br /> 5-N R-3 <br /> <br />AUM~VILLE NO <br /> <br />SUBDIVISION <br /> <br /> DEL~R III <br /> <br />SITE NUMBER: <br /> VALUATION~ <br /> <br />23 5 <br /> 74. 100 <br /> <br /> 8927 <br />$32,800.00 <br /> <br />3 <br /> <br />AREA UHITB IRREG CORHER <br /> 7400. SF NO NO <br /> <br />TYPEt BUILDING PERMIT OR APPLICATION NO: 902046? <br /> <br />CONTRACTOR, NO. 55493 <br />TOO DORAN <br />PO BOX 185 <br />SUBLIMI/Y 97385 <br />PHONE; 769-7364 <br /> <br />ARCHITECT/ENGINEER, NO. IV~JLTI <br />MULTI/TECH <br />1155 13TH ST SE <br />SALEN OR 97302 <br />PHONE: 363-9227 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />OU.~N'4TITY <br /> <br />TOTAL ASSESSED FEES <br />PREVIOI3S RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT <br /> $208.50 <br /> $134.23 <br /> $3.84 <br /> $10.33 <br /> <br />$354.90 <br /> $0.80 <br />$354.90 <br /> <br />8AL./~CE E~E $0.00 <br /> <br />PAYEE: T0f~l 00RAN 21720 <br />RECEIVED BY: PB TYPE: IN CHECK ~: 0 <br /> <br />~ THIS IS NOT A PERMIT. THIS APPLICATION MUST (~ TH}:~(~{ A REVIEW PROCESS h~iERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO AS.,~RE THAT <br />ALL NECES~ARC¢ INFORNATION HAS BEEN PROVIDED. <br /> <br /> PLAN REVIEW: BY ~ DATE~J~. _ <br /> <br /> CITY JURISDICTION: BY <br /> <br />SEPTIC: BY DATE <br />ZONING: 8Y DATE SETBACKS: FR 20 LS 5 RS 5 R~ 5 ~.~P <br /> <br />REr4ARKS: NEIN RES <br />HEIGHT: 14 TOTAL SQ FT: 1328 STORIES; 1 PLAN.AQTION:- <br /> <br />DATE <br /> <br />OFFICE COPY <br /> <br /> <br />