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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 4:80 RM, - 8:00 A,M. <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE; <br /> <br />08/16/89 TIME: <br />HUMPHREY, DAiVD <br /> <br />4:15:32p <br /> <br /> 10074 FRIENDLY ACRES RD SE <br />AUr¢~S. VI LLE OR 97325 <br /> <br /> TAX LOT: <br /> <br /> CONSTRUCTION TYPE; <br /> <br /> 5-N <br /> CONTRACT CITY: UGB: <br /> <br />MAR~ON COUNTY <br /> <br />NO <br /> <br />CATEGORY: <br /> RESi DENT I At_' <br />OCCUPANCY: <br /> <br />MAILINGAODRESS: SINGLE FAMILY DWELLINGS <br /> <br />SUBCrVISION: <br /> <br /> SAME <br /> <br /> PHONE: ?49-2805 <br /> <br />LOT: BLOCK: <br /> <br />TOWNSHIP' <br /> <br />SITE NUMBER: 8071 <br />VALUATION: $7 ~4.00 <br />RANGE: ZONE: : <br /> <br /> UNITS: 8S ~RR~G LOT: 1~ CORN~R: ARS <br />00000 AC NO NO <br /> <br />48 <br /> <br />TYPE= BUILDING <br /> <br />CONTRACTOR, NO_ <br />HUMPHREY, DAIVD <br />SAME <br /> <br />?49-2805 <br /> <br />PEPJVIIT OR APPLICATION NO: 18063 <br /> ARCHITECT/ENGINEER, NO. <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIE~ <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE: <br /> <br />OUANTITY <br /> <br />AMOUNT <br /> ~68.50 <br /> 44.53 <br /> i3_84 <br /> 3.43 <br /> 3.43 <br /> <br />TOTAL.ASSESSED FEES $123.73 <br />PREVIOUS RECEIPTS $123.73 <br />TH~S RECEIPT $0.00 <br /> <br /> DUE $0.00 <br /> <br />RECEIVED 8Yt PB ~, 'T~.PE:' CHECK ~: <br />'¢ THIS IS A VALID PE~IT ~ ~?~E~T ~PIB~'t~8¢"'.~DAYS""F~ ~TS I~E DATE. <br />~STRUCTI~ CEAS~ FOR A¥'~P~B~F ,';~'~0;';~S, ~'eR ZF 'O~S~RUCTION FAILS TO NEE~ ALL <br />REQUIRENENTS OF STATE LAWS' A~D~'~k~'~¥C~NTY BU'ILB~NG'*~'~ Z~ING ORDINANCES TMT~ <br /> <br /> SETBACKS; FR-20 LS'-10 RS~I'O RR,~30 sPL <br /> RENARKS: FAMILY ROOM ADDN R~?'9~? ":": <br /> HEIGHT~ TOTAL SQ FT~ 384 STORIESt 1 <br /> <br /> DONALD E. NOOBLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br />~o~c~.~e ~Ev~a OFEICE COPY <br /> <br />PLAN. ACTI ON: ~%~ <br /> <br /> <br />