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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 RM - 8::00 AM <br /> <br /> I am performing work on s property I own or occupy <br /> I am a registered builder QR ( j the ~uthori;~ed representative <br /> of a registered builder <br /> The work ¢¢ill be podorr~od by a registered builder <br /> Other <br /> I have read and agree to the terms stated on the reverse side of <br /> ibis document <br /> <br /> DATE= 06/21/89 TIME: 12:41:36p <br />OWNER <br /> BUSBY, STEVEN C. <br /> <br />DATF. <br /> <br /> 6?5 1ST <br />AUMSVILLE OR 9?325 <br /> <br />USE OF BUILDING <br /> <br /> CONTRACT CITY <br /> <br />AUNSVI LLE <br /> <br />57757-000 <br /> <br />5~N <br /> <br /> YES <br /> <br />SINGLE FANILY DWELLIN(~S <br /> <br />6743 SHAW H~rY. AUN~VILLE <br /> <br />PHONE: 749-2?94 <br /> <br /> 25 <br /> <br />8S <br /> <br />RESI DB',ITI AL. <br /> <br /> SITE NUMBER: 6478 <br /> VALUATION: $0. O0 <br />RANGE ZONE MAP <br /> 2N ID 51 <br /> YES 'YES <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR. NO. <br />BUSaY,STEVEN C. <br />5743 SHAM HNY. AU~4SVILLE <br /> <br />PHONE: 749-2?94 <br /> <br /> ITEM <br />ADDITIONAL BUILDING FEES <br />FLEET SURCHARGE -ZONE 3 <br /> <br />PAYEE: BUSBY.STEVEN C. <br />RECEIVED BY: PB <br /> <br />THIS IS NOT A PEPJ'4IT. <br /> <br /> 9016910 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEZPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY <br /> <br /> ANOUNT <br /> $10.00 <br /> <br /> $13.84 <br /> $o.oo <br /> $19.84 <br /> <br /> $o~oo <br />17980 <br /> <br />TYPE: IN CHECK ~: 0 <br /> <br />FOLLONING MUST BE COMPLETED+. <br />ALL NECESSARY INFORIV'C~T...ION HAS BEEN PROVIDED, <br /> <br />SEPTIC: BY DATE <br />ZONINGt BY DATE SETBACKS: FR-____ <br /> <br />RENARKS: DEMOLITioN OF RES. GARAGE TO RENAIN <br />HEIGHT: 12 TOTAL SQ FT: 960 STORIES: <br /> <br />IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> <br />CITY JURISDICTION: 8Y <br /> <br />1 PLAN.ACTION: <br /> <br />DATE <br /> <br />SP,-- <br /> <br /> <br />