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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 /> OWN~RA: ')*E: 3D/2'2/g~ "riME: 1 1 .~ ~8.'15 , TAX L0~'. <br /> CATEGORY: <br /> <br /> MCCOY, RONALD RE~I BEN r.[AL <br />: SITUS ADDRESSJ cON~Uc~iON' ~YPE: : OCCUPANCY: <br /> <br /> 5~ ~= ~ <br /> 62?3 ~A~ ~NE SE CONTRACT CITY: , UGh: ;OCCUPANT LOAD: <br /> AU~Vi LLE OR 9?325 ; <br /> <br />us~ o~ ed*Ebl~: ....................... ...... ~ ~ <br /> <br />i MAILING ROORBSS: RES I'DFJqT iAL' ACCE~RY' STRUCTURES: su~cIvisiCh: <br /> <br /> PHONE: 74-9-2553 <br /> <br />LOT: : BLOCS; <br /> <br /> $I ~:E: NUf4f~ER = 689 <br /> VALUA'r ION: $2,00[J.oo <br /> ;S~CTION; r~WNSHiP: : RANGE: ZONE: ' MAP'. <br /> <br />..~ ' 8~ .. 2W AR3 <br />: A~&; ~ 0~[T$: IRREG. LOT: CORNER: <br /> ~ 1.41 AC : NO ~ NO <br /> <br />TYPE: BUI LDINf3 <br /> <br />(..%3N'r RAC'f OR, NO. <br />MCCOY, RONALO <br /> <br />PERMll' OR APPLICA'riON NO: <br /> <br /> 9036264 <br />ARCHITECT/ENGiNEER, NO. <br /> <br />PHONE: 74§-2553 <br /> <br /> I'I'F_.RI <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE ~JRCHARr,3E <br />ZONING SURCHARGE <br /> <br />PAYEE: MCCOY, RONALD <br /> <br />PHONE: <br /> <br />TO'rALliED FEES <br />PREWJf3dS RECEIP'rS <br />TH~S RECEIPT <br /> <br />BAL.~4CE EIJE <br /> <br />C~JANTi'fY AMOUNt' <br /> $32.50 <br /> $21.13 <br /> ~t.63 <br /> <br />$56.89 <br /> <br />$56.89 <br /> <br />38190 <br /> <br /> RECEtVEO BY: CL ~ - J TYPE: OK C~ECK ~: 103 <br /> <br />* 'FHiS IS NOT A PEf'4MI'I. THi$ APPLiCATJON'MUSTGOTHROuC.-..-~ A RE¥~EW Pk'OCE~S MHERE' 'I'H~ <br />FOLL~NG ~5T BE CONPLE'[ED. iT iS THE R~P~SJB~L~TY OF THE APPL~C~I' TO A~RE THAr <br />ALL NECE~ARY iNFO~'ri~ H~ BE~ :P~VIDED. <br /> <br /> C11'Y JURisDICTION: BY DAlE <br /> <br />SEP'F~C: BY DATE <br />ZONING: 8Z "~Z DATE /~" Z~-¢,,,'SE'fBACKS: FR ~-~ ' LS........Za...F RS /¢ ' RR ]¢' 5P <br />REMARKS; C0,~t~ET'IOM PERM~%"FOR--C-~P. AGE p~900 R~q'~5~ ...................................................... <br /> <br />HEIGHT: <br /> <br />16 fOTAL ~3Q FT: 0 STORIES: <br /> OFFICE COPY <br /> <br /> <br />