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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97901 <br /> <br /> PHONE 589-5147 'i-~''~ .- ~,,. ~., / ~' <br /> CODE-A-PHONE 4 30 PM - 8::00 A M <br /> <br />~ am a registered builder OR t / the 8uthor,ZOd representative SIGNATURE OF APPLICANT ~.~_. _~ (? ~//~/~_~ __~. <br /> <br />OtherThe ~°rk will be perf°rmed bY a r°91st°rrd builder ~.~.. ~.~.._ ~,_, _~, ~7--' ~ -. <br /> <br />DATE: 10/10/89 TIME: 12;46:41p <br /> <br /> EX)PAN, TONi 90040-130 RESIDENTIAL_ <br /> <br /> 5-N <br /> 815 9TH CONTRACT CITY UGR OCCUPANT LOAD <br />AUMSVI LLE OR 97325 <br /> AUMSVI LLE NO <br /> <br />M*ILINGADDRFSS SINGLE FAMILY DWELLINGS <br /> <br />~ BOX 185 <br />SUBLIMITY OR 97385 <br />PHONE: 769-?364 <br /> <br />SUBDIVISION <br /> <br />DELMAR III <br /> <br /> SiTE NUMBER: 8521 <br /> VALUATION: $34,600.00 <br /> <br />1 ~, 4 25 8S 2W RS 51 <br /> 57 71 SF YES YES <br /> <br />3 <br /> <br />TYPE: BUILDING PEP, MIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55493 <br />TOM EX}RAN <br />PO BOX 185 <br />SUBLIMII~F 97385 <br />PHONE: ?69-7364 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN <br />FLEET SURCHARGE "ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />19364 <br /> <br />ARCHITECT/ENGINEER, NO. MULTI <br />MULTI/TECH <br />1155 13TH ST SE <br />SALFJ~I OR 9?302 <br />RHONE: 363-9227 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />$215.50 <br /> <br /> $3.84 <br /> $10.78 <br /> <br />$370.20 <br />$397.84 <br />-$7.64 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: TOM DORAN 20714 <br /> <br />RECEIVED BY: PB TYPE: IN CHECK ~: <br />~ THIS IS A VALID PERMIT ~ THIS PERMIT EXPIRES 180 DAYS FROM ITS IS43UE DATE. ZF <br />CONSTRUCTION CEASES FOR A PERIOD OB 180 DAYS, OR IF CONSTRUCTION FAILS TO MEET ALL <br />REQUIREMENTS OF STATE LAWS AND MARION COUNTY BUILDING AND ZONING ORDINANCES, THIS <br />SHALL BECOME NULL AND VOID. <br /> <br />SETBACKS: FR-20 LB-5 RS-5 RR-5 SP- <br /> <br />I~EPARKS: NEW RES <br />HEIGHT: 14 TOTAL SQFT: !320 STORIES: 1 <br /> <br />DONALD E NOOOLEY, MARION COUNTY 8UILOING OFFICIAL / BY <br /> <br /> <br />