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MARION OOUNfY BUILDING INSPECTION <br />SENATOR BLJ3G. NO~. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-~-PHONE 4;30 RM. - 8:00 A,M, . ~ /~-/ <br />I am a registered builder O1~ the authorized representative S ONAYU~E OF A~~~]~ ..................... ' <br /> <br />o~:E: 03/19/90 TIME= 10:54=50 <br /> CHRISTENSEN, HAROLD <br /> <br /> -67!0 82,ND A,,u¢,2--~ <br /> SALEM OR 97301 <br /> <br />USE OF BUILDING: <br /> <br />SE <br /> <br /> TAX LOT: CATEGORY: <br /> 75301-020 RESIDENTIAL <br /> CONSTRUCTION TYPE; OCCUPANCY: <br /> <br /> 5-N R-3 <br /> CONTRACT CITY: UGB: OCCUPANT LOAD: <br /> <br />MAR[ ON COUNTY NO <br /> <br />MAIUNGAI3DRE$$: SINGLE F~IILY D~ELLtNGS <br /> <br />SUBDIVISION: <br /> <br />4 <br /> <br />805 ROYALTY DR NE <br />SALEM, OR 97301 <br />PHONE: 399-9627 <br /> <br />(lOT; BLOCK: SECTION: TOWNSHIP: <br /> <br /> 14 <br /> <br /> 5. 17999983 <br /> <br /> SZTE NUMBER: 9620 <br /> VALUATION: $200,000.00 <br /> <br />8S 2N AR3''~' <br />AC NO YES <br /> <br />49 <br /> <br />TYPEs BUILDING PERMIT OR APPLIO~C~TION NO: <br /> <br />CONTRACTOR, NO. 39128 <br />GOERKE. RUDY <br />4660 CALVERT CT SE <br />SALEM,.OREGON 97302 <br />PHONE: 371-2198 <br /> <br /> ITEM <br />BUILDING FEE <br />PL~ REVIEW <br />TUI;DNPIKE DRIVEWAY, BUILDING, INSPEXDTION <br />TURNPIKE DRIVEWAY, PUBLIC WORKS <br />FLEET SURCHARGE -ZONE 2 <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br /> 9022545 <br /> <br />ARCH I TECT/ENGINEER <br /> <br />PHONE: <br /> <br />QUANTITY AMOUNT <br /> $683.00 <br /> $443.95 <br /> $1.00 <br /> $16.00 <br /> $2.56 <br /> $34.15 <br /> $34.15 <br /> <br />A,S.SESSED FEES $1,214.81 <br />RECEIPT <br /> <br /> PAYEE: CHRISTENSEN, HAROLD <br /> RECEIVED BY: PR TYPE: CK CHECK <br /> <br />* THIS IS NOT A PEI:~IlT. THIS"AP~L~CATION MUST GO TRRCUGH A REVIE~ PROCESS ~HERE THE <br />FOLLO~IN~ MUST BE COMPLETED. Z~.',IS~ THE RESP~SIBIL.ITY OF THE APPLICANT TO ASSURE <br />ALL NECESSARY INFORMATION HAS BEEN PROVIDED~ <br /> <br /> POBLIC WORKS: ~Yt-.. ............................... DATE .................................... CITY JURISDICTION: BY DATE <br /> <br /> ZONING: 8YllllllllQ.~,,, ................ DATE S~{j[q SETBACKS: FR ~ LS 9OC~ RS 2~ SP <br /> NEN RES & ....... ~C~.,,'~ r~f"[.$ .............................. <br /> HEIGHT: SO FT: 3700 STORIES: 3 PL~C4.ACTION <br /> <br />FO~U ,~ uc ~-5~ Rev :v,, OFFICE COPY <br /> <br /> <br />