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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 A.M. <br /> <br />SIGNATURE OF APPLICANT: <br /> DATE: <br /> <br />o~[E.' 11/02/89 TINE: 12:28:55p <br /> <br /> SUTTER, RALPH <br />~tTU~ ADDRESS: <br /> <br />TAX LOT~ <br /> <br />CONSTRUCTION ~yRE:80048-190 <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: <br /> <br />RESIDENTIAL. <br /> <br />890 9TH <br />AUMSVI LLE OR 97325 <br />USE OF BUILDING: <br /> <br /> CONTRACT CITY: <br /> <br />AUMSVILLE NO <br /> <br />OCCUPANTIOA~'3 <br /> <br />MAILING ADDRESS: SfNGLE FAMILY ~;:LLiN6S su,~D,v,~,ON: <br /> <br /> PO BOX 12533 DELDtAR ti1 <br /> SALEN OR <br /> PHONE: 588-23?3 SITE NUMBER: <br />LOT: BLOCK: SECTION: TOWNSHIP: RA ~/(~UATION: ZONE: <br /> <br />8755 <br /> $32,8~ 00 <br /> <br />3 <br /> <br />WIDTH: 8 CEF~iH: 5 AREA: 25 UNITS: 85 iRREG. LOT: 2[/~ CORNER: <br /> ?4 100 '/4,00. D0 SF' NO NO <br /> <br />51 <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO_ 43505 <br />RALPH ,SLITTER <br />PO 8OX 12533 <br />SALEN 97309 <br />PHONE: 588-2373 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVI E~ <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE'. SUTTER, F~ALPH <br />RECEIVED BY: PB <br /> <br /> 9020016 <br />ARCHITECT/ENGINEER, NO. <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RB;EIPT <br /> <br />OUANTITY <br /> <br />AMOUNT <br /> <br /> $134.23 <br /> $3.84 <br /> $10_32 <br /> <br />$354.9O <br /> $o.oo <br />$354+90 <br /> <br />BALANCE DUE $0.00 <br /> <br />~ 21247 <br /> ............. TYPEz IN C~ECK ~: 0 <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS ~HERE THE <br />FOLLONING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO AZ~SURE THAT <br />ALL NECESSARY INFORMATION HAS BEEN ?ROVIDED. <br /> <br />PLAN REVIE.: BY <br /> <br /> CITY JURISDICTION: BY ........ <br />SEPT~,C: BY DATE <br /> <br />ZONING'=,,, BY ....... - DATE ..... ~__ SETBACKS: FR-~O LS-5 RS-5 PR-8 SP- <br />RE. N1ARKS: NEN R~ <br />HEIGHT: 14 TOTAL SQ FT; 1318 STORIES: 1 PLAN.ACTION: <br /> <br />DATE <br /> <br />,.~>,M ', MC; '!, ~,r. ¢~I:V ~/~,' OFFICE COPY <br /> <br /> <br />