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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 /> <br /> 18mperformm' gworkonapropertylo py, <br /> I am a registered builder OR ( ) the authorized representative 81GNATURE OF APPLICANT: <br /> of a registered bui)der, <br /> The work will be performed by a registered builder, <br /> Other <br /> I have read a~d agree to the terms stated on the reverse side of CATE: <br /> this document. <br /> <br /> DATE: 11/18/9'1 'f'[~E: 15:23:55 <br /> <br /> ~OD, WAYNE L <br /> SmTUS ADDRESS: ~ (OOOUPANOY: <br /> 5~N <br /> 7918 Sf'ONEPIELD Ct SE 'C~ACT~ITY: ~ UGh'. ,bCCUPANT LOADZ <br /> AD~V~ LLE OR 97325 <br /> .................................... ~6.~. ~W~'[~ N0 <br /> <br />'MAILING ADDRESS: O'~'H~ N~-RES~NT~AL ~D~N~ su~ws~0~ <br /> <br />PHONE: <br /> <br />LOT: <br /> <br /> 3 <br />WIDTH: <br /> <br />S'I'ONEP'i ELD GLEN <br /> <br />749-2236 SITE NUIV~ER: <br /> VALUAT iON: $6,000. O0 <br />BLOCK'. ' SECTION: YdwN§RIPi : ZonE: MAP: <br /> <br /> 26 8S 2~ AR <br /> DEPTH; : ARE~: : U~S'. IRREG. ~O~: <br /> 5.39 AC i YE5~ NO <br /> <br />51 <br /> <br />RESI BEN't iAL <br /> <br />TYPE: BUiLOiNG <br /> <br />CONfRACI'OR, NO. <br />1¢,¢300, WAYNE L <br />SAME <br /> <br />PERMit OR APPLICATION NO: 9036871 <br /> ARCHiTEC'f'/ENGJNEER, NO+ <br /> <br />PHONE= ?49-2235 PHONE: <br /> <br /> I'f'Er',l <br />BUILDING FEE <br />PLAN RE¥iEN <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />TO'ITALA~SE~ED EELS <br />PRE¥iOU~ RECEIPTS <br />THiS RECEIPT <br /> <br />QUAg'ql'i'l'Y <br /> <br />A~OUN'¥' <br /> $58.50 <br /> <br /> $2_83 <br /> $2.83 <br /> <br />$98.89 <br /> <br />$98.89 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: ~N~X)D, WAYNEt~A ~ . 38819 <br /> <br /> *THIS ~S NOT A PERMiI. THiS APPLICATION MUST GO ZHROUGH A <br />FOLLOWING MUST BE COMPLETED. it 1S THE RES~SiBiLiTY OF THE APPLICANT TO A.~RE 'l'HAl <br />ALL NECESSARY iNFORMATiON HAS 8E~ P~ViDE0. <br /> <br />Ci'IY JURiSDiCTiON: BY DATE <br /> <br />~EPfJC BY BATE <br /> <br />REMARKS:&~t'~POEE'-"R~0026 ............................ <br />HEIGH'1'; ~4 I'OTAL ~ F'l'; 1000 ST'ORiBS: <br /> <br />PLAN+ACTiON: <br /> <br /> OFFICE COPY <br />FORM ~ MC 15-58 REV. 4/~0 <br /> <br /> <br />