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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 <br /> CODE-A-PHONE 4:30 P,M. - 8:00 A.M. <br /> <br />( ) O~her_ <br /> <br />0,5/08/88 TI~4E_- <br /> <br /> 8881 LITTLE ROAD SE <br />AU~v~VILLE OR 9?325 <br /> <br /> TAX LO~: ; CATEGORy; <br /> RES I OENT Z AL, <br /> <br /> 5N <br />CONTRACT CITY'. i UGB: ! OCCUPANT LOAO; <br />HARMON. C~N~Y ,', · NO <br /> <br />MAIUNG ADDRESS: RESIDENT]:AL ACC~ORY STRUCTURES' :~0e~i~i~i6N: ...... <br /> <br /> ,,9-,1 LITTLE ROAD SE <br /> <br /> PHONE: 749-2557, SITE NUIV~ER: 4485 <br /> ~'~2~,.~'-' , VALUATION: , $8 338.00 <br />LOT: BLOCK: :SECTtQNi ~WNS'HIP; , I:t~6~; i ~0~E~ MAP: <br /> <br />TYPE: BUILDING PERNIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO- <br />GREEN, ELWOOD <br />8911 LITTLE ROAD SE <br />AUMSVILLE 9?325 <br />PHONE: ?49-255? <br /> <br /> ITE~ <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURC~A~ <br />ZONING SURCHARGE <br /> <br /> 9008992 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ~E:SSED FEES <br />PREVIOUS RECEIPT~ <br />THIS RECEIPT <br /> <br />0.UAN T I TY <br /> <br />AMOUNT <br /> $62,50 <br /> $4.0.63 <br /> $3.84 <br /> $3.~3 <br /> $3.1~ <br /> <br />$113.23 <br />$113.2~ <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE-+ GREEN, 0~.iLNOOD 9661 <br /> RECEIVED BY-- TYPE: CA 2HECK ~: 0 <br />................................... ~=~-~--~ .=_~__==~_~_==- <br />:~ THIS IS NOT A PE~IT. THIS APPLICATION ~ST GO ~U~ A REVIEW PROCESS WHERE THE <br />FOLL~ING ~ST BE C~PLET~D, IT IS THE R~SI~I~ O~' THE APPLICANT TO ASSURE THAT <br /> ALL NECESSARY INFORMATION HAS BEEN P~VIDED. <br /> <br /> C~TY JUR~SD~CT~ ~ ....... DATE <br /> <br /> SEPTIC: <br /> 8Y_a <br /> ............. 5ATE_~ ............. <br /> ZONING; 3~ ~DATE~¢'~ SETBACKS: =R- ~ LB-~ <br /> RE~RKS: ~O~G~ BL~ -~% BUILT <br /> HEIGHT ~ lB TOTA~ ~ STORIES: 1 PLAN.ACTION: <br /> <br />~c*~ ,~ ~c ~,~.5~ n~v e/~ OFFICE COPY <br /> <br /> <br />