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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 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> ) The work will be performed by 8 registered builder, <br /> Other. <br /> <br /> this document, <br /> <br /> LUCAS~ HARK A 57797-~17 RE~ISENTIaI,,. <br />SITUS ADDRESS: CONSTRUCTION TYPE: ~OPANCY: <br /> 5-N R.,,,S <br /> 485 OLNEY ST -- :~7:8~OT._O~,_f: ......... ~-O~'i .......... 6~d~ LdAo,. <br /> AOMSVIL[,,E OR <br /> <br />USE OF 8UILOlNG; ' NO OF <br /> SIHGI,,.E FANIt,.Y DWELLIHGS 3 <br /> <br />PO BOX <br />aUHSV,[LLE~ OR <br />PHONE: 749-~866 <br /> <br />SiTE HUMBER= 94-812&7 <br />VALUATIOH: $897865, 88 <br /> <br />, L(~Ti i BLOCK; §~¥i5~'i I TOWNSB tP; ,r RANGE: I ION E'. ~ MAP'. <br /> .1. , 25 88 2W RS ; 51 <br />iWIBTH; DEPTH: AREA; , UNITB'. IRREG, LOT; ; CORNER: <br /> 72 ~ ~5~ ~08~. , NO ~ NO <br /> <br />TYPE: DWELLING PERHIT OR APPLICATIOH HO: <br /> <br />COI'ITRACTOR~ 140. <br />LUCAS, HARK A <br />PO BOX 75.1. <br />AUN8VILLE~ OR 97~,,.5 <br />PHONE." 74¢?-3866 <br /> <br /> iTEH <br />DWELl. lNG BUILI)ING FEE <br />DWELLING PLUHBING <br />9WELLING HECHANICAL <br />DWELLING ELECTRICAL <br />I)WELLING STATE SORCHARGE <br />DWELLING PLAH REVIEW <br /> <br /> ~05~8~4 DP <br />ARCHITEC1-/ENG INEERo <br /> <br />PHONE: <br /> <br />TO,AL AssE$sEB FEES <br /> <br />I~UAN'fITY AHOONT <br /> SS44.1& <br /> $t2%50 <br /> $31.27 <br /> $98.80 <br /> <br /> PRE~IO ~S F~ECETPTS <br /> THIS RECEIPT <br /> <br /> BALANCE <br /> ~AYEE: LOCAS, MARK A <br /> Ir(ECI-'IVE9 BY: PM ....................... L~ ................ TYPe: IN <br /> <br />~ THIS IS HOT A PERHIT. :THIS APPLICA~rlON HUST ~ THROUCH A REVIEW PROCESS WHERE THE <br />FOLLONIH~ HUST BE COHPLET[9. IT IS THE ~SP~HSIBILITY DF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY INFORHATION H~S ~EEN PR~W[~E~. <br /> <br /> ZON:[NG~ BY DATE ......... ~- 2.1.~9 <br /> <br />CITY JURISDICTION. BY DATE <br />I:~.I~;HARI<.S: NEW RES <br /> <br />HEIGHT: <br />TOTAL: 80 FT: <br />STORIES: <br />PLAN;ACTION: <br />ENERGY PATN: <br /> <br /> $0.00 <br />$81%88 <br /> <br />CHECK <br /> <br />FR 28 <br /> <br />R8"5 <br /> <br />sPZ ........ <br /> <br /> OFFICE COPY <br />FORM # MC ~ 5-56 REV. 4/90 <br /> <br /> <br />