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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: S88-514.7 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I &m performing work on a property t own or occupy, <br />I ama registered buildorOR( ) the authorized representative <br />of a registered builder, <br />The work will be performed by a registered builder, <br />Other_ <br /> <br />DATE: 08/17/92 TIME: <br /> <br />OORAN, TOH <br /> <br />SITUS ADDRESS; <br /> <br /> 540 5'FH ST <br />AIJHSVILLE <br /> <br />7:56:41 <br /> TAX LOT: CAT~GORY: <br /> RESIDENTIAL <br /> CONSTRUe+ioN TYPE: : OCCUPANCY: <br /> 5-N R-5 <br /> <br />S~NGLE FAHILY DWELLINGS <br /> <br />, MAILING Al)DRESS: <br /> <br />PO BOX 185 <br />SUBLIMITY, OR 97585 <br />PNONE: 769.-'7564 <br /> <br />sgso~WStON'. <br /> PARTITION PLAT 92-79 <br /> <br /> SITE NUMBER: 92-0~974 <br /> VALUATION: $40 000.00 <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br />83 <br /> <br />25 88 ' 2W RS <br /> <br />TYPE: DWELLING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 55495 <br />Tom L Ooran <br />Po Box 185 <br />Sublimity, 97~85'-'0000 <br />PHONE: 7~9~7564 <br /> <br />ITEM <br />DWELLING 8UILOING FEE <br />DWELLING PLUMBING <br />DWELLING MECHANICAL <br />DWELLING ELECTRICAL <br />OWELLING STATE SURCHARGE <br />OWELLING PLAN REVIEW <br /> <br /> 9041955 DP <br />ARCHITECT/ENGINEEP, NO. <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br /> BALANCE DUE <br />PAYEE: Tom L Ooran <br />RECEIVEO BY: PW <br /> <br />TYPE: IN <br /> <br />AMOUNT <br /> $215.67 <br /> $77_91 <br /> $19.41 <br /> $60.84 <br /> $18.59 <br /> $185.00 <br /> <br />$575,,42 <br /> $o,,00 <br />$575.42 <br /> <br /> $0 _ DD <br /> a4002 <br />CHECK ~: 0 <br /> <br /> THIS IS NOT A PERMIT. THIS APPLICATION MUST 60 THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWIN6 MUST BE COMPLETEO. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THA~ <br /> <br />LL NECESSARY INFOR~7~Iq~ HAS BEE~ PROVIDED. <br /> <br />CITY 3URISOIOTION: BY DATE <br />REMARKS: NEW RESIDENC~ ........ <br /> <br />NEIGHT: SETBACKS: FR <br />TOTCL SQ FT: 1328 L.S ............ <br />STORIES: i RS .......... <br />PLAN.ACTION: RR ............. <br />ENERGY PATN: 1 8P'~;7']:.']i <br /> <br /> OFFICE COPY <br />~ # MC 15-56 REV. 4/90 <br /> <br /> <br />