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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HiGH STREET NE <br /> SALEM OREGON 97501 <br /> <br /> PHONE: 588-5147 8::00 - 4'30 <br />24 HOUR CODE-A-PHONE:; 588-7904 <br /> <br />SIGNATUHE OF APPLICANT <br /> DATE <br /> <br />OWN'¢C~IE~ 07/26/9'~ liME: 10:32:02 <br /> <br /> ~tJ I f'ER, RALPH <br />S~TUS ADDRESS <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />RES i DEN f 1/~,L <br /> <br /> 915 gin Sf <br /> AfJIV~V I LLE <br />USE DP BUILDING <br /> <br />OR 97325 <br /> <br /> CONTRACT CITY <br /> <br />AU~¥iLL~ <br /> <br />NO <br /> <br />OCCUR^Nr ~oA-~ <br /> <br />MAiLINQ ADDRESS NINGL~ PAMiLY OWBLLING5 <br /> <br />PO BOX ]2533 <br /> <br />PHONE: 588-2373 <br /> <br />LO7 Bt OCK SECTION <br /> <br />4 4 25 <br /> f4 110 8140. <br /> <br />DELMAR ADOIIION ~3 <br /> <br /> SIIE NUMBER: <br /> VALUA f iON ;. <br />RANGE <br /> <br /> 13663 <br />$45,U00.00 <br /> <br />IRREG LOT CORNER <br /> NO Y~ <br /> <br />fYPE: DWELLING PERMi~ OR APPL[CAIION NO: <br /> <br />CONIRACfOR, NO. 43505 <br />RALPH SUffER <br />RD BOX <br />SALDJ~4 97309 <br /> <br />DWELLING BUILDING FEE <br />DWELLING PLUN~iNG <br />f~*JELLiNG MECHANICAL <br />0WELLING ELECIRiCAL <br />DWELLING $f'AlE ~JRCHARGE <br />D~ELLING PLAN REVIEW <br /> <br /> 9034010 0P <br />AR%HifECf/~NGINEER, NO. <br /> <br />PHONE: <br /> <br />¥O'IAL ASSE~ED PE~ <br />PRE¥ZOUS RECEIPTS <br />fHIS RECEIPf <br /> <br />L~JANfIIY <br /> <br />AMOUNf <br /> $209-49 <br /> <br /> $19,03 <br /> $59-65 <br /> $18.23 <br /> $185.00 <br /> <br />$567.?9 <br /> $0.0o <br />$567. ?9 <br /> <br />BALANCE O~JE $0.00 <br /> <br /> PAYEE: NALPH SUFFER ~-.~ . , 35868 <br /> RECEIVED ~Y; P'8 TYPE- tN CHECK ~, O <br />........................ ============================== ....... : ............ 2 <br /> ~ YHIS i5 NOr A P~RJ~Iif. IHi$ APPLICAFiON MUSF GO IHROJG~ A R~VZEW P~E~ ~R~ fHE <br /> FOLLOWING ~USf BE COMPL~I~D. il iS fHE RES~NSIBILifY OF IHE APPLICANf fO ASSURE IHAf <br /> ALL NECE~ARY INPOR~FION H~ 8B~ PROVIDED. <br /> <br /> OilY JURISDICTION: BY <br /> <br />S~PltC: ~Y OAr~ <br /> <br />ZONING: BY DAlE SETBACKS: FR 20 L~ D RS 5 RR 5 ~P <br />REMARKS: NEW RES <br /> <br />NEIGRf: ~4 TQIAL 5~ Fl: 1302 51DRIES: 1 PLAN.ACflON: <br /> <br />OA1~ <br /> <br />FORM # MC 15.56 REV 4/¢~ OFFICE COPY <br /> <br /> <br />