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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />22(3 HIGH STC{EET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8:00 A.M, <br /> <br /> DATE: 10129/87 <br />OWNER: <br /> <br /> HILLS, KEV[N <br />SITUS ADDRESS; <br /> <br />DETROIT <br /> <br /> OR 9?342 <br />.......................................... DEYROIT ....... ~. NO ..... : <br /> <br />OCOU~ANCY: <br /> <br />OOCUP~T LOAD: <br /> <br />h^tCCNa ~DORESS: RESIDENTIAL ACCEEEC3RY STRUCTURES i~01~fSi~Ni .... <br />~.. PATTOf4 I I I <br /> <br />195 GUYMORE DR <br />DETROIT, ORE 9?342 <br />PHONE: 854-$?9? <br /> <br /> SITE NUMBER= 2973 <br /> VALUAT;ON~ ..... $'}', SO0-O¢ <br />:SECTION; TOWNSHIP; : RANG~; ! ZONE: MAP: <br /> <br /> [ ................ -~0 i 5E ; <br /> <br />TYPE: BUILDING PERt4IT OR APPLICATION NO: <br /> <br />CONTP. ACTOR, NO. 25815 <br />LARRY LEE CONST. <br />12860 OUCKFLAT RD SE <br />TU~ER, ORE 97392 <br />PHONE: 769-3814 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE ? <br />BUILDING STATE SURCHARGE <br /> <br /> 9005299 <br />AI~HITECT/ENGINEER, NO. <br /> <br />,TOTALAL~EESsED,~EES <br />PRE~:[OUS RECEIPTS, <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> ~68.50 <br /> 44,53 <br /> ~8_96 <br /> 3.43 <br /> <br /> $0.00 <br />$125.42 <br /> <br />PAYEE: LARRY LEE CONST ~,~ ~ J/Ok . , 5863 <br />RECEIVED_BY, Of 4 - - ~'2"~TTfPE~.IN.CHECK ~: 0 <br /> <br />· THIS IS NOT A PE~IT. TH~S R~I~ P~ ~ERE THE <br />FOLLOWING HUST BE COMPLETED. IT ZS THE R~S~?IE~'OF ~E APPLICANT TO ~RE THAT <br />ALL NECES~ INFO~AT[~ H~ BE~ P~VIDED. :: <br /> <br />PLAN REVIEW,* <br /> <br />SEPTIC: EY DATE <br />ZONING: BY <br /> <br />REMARKS: POLE BLOC <br />HEI~T; <br /> <br /> :CITY JURtSOIC%ION: BY ......... DATE <br /> <br /> DATE ....... SETBACKS:FR~ LS~ RS- RR- SP- <br /> <br />TOTAL ~ Fl-: 0 S?ORIES: 1 ,PLAN.ACTI(~,I: <br /> <br />~on~ ,, ~o ~-¢e ~_v e~7 OFFICE COPY <br /> <br /> <br />