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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 />)// I am performing work on a property I own or occupy. <br /> <br /> OAI'E~. 06/05,/90 TIME: 10:08=47 <br />BI1UB ADDRESBKFMp' OORI'HY & ~RL <br />use ~. OR 97002 <br /> <br />MAILING ADDRESS; <br /> <br />RF.~iDEN'FiAL ACCESE~RY ~'rRu¢'rURES <br /> <br /> ,/7 <br /> <br /> / <br /> / <br /> <br /> ? <br />OONSTRLjCT~ON TYP,,~¢ OCCUPANCY: RES][DEN'f IAI <br /> <br />CONTRACT CrTYv UGB OCCUPANT LOAD <br /> 5-N <br /> <br />COUNTY NO <br /> <br />LOT PHONE.~ BLOCK: SECTION <br />WIDTH; DEPTH: AREA <br /> <br />h~,~"¢,';E Nur,~ER~, BONE 10955 MAP: <br />VALUA'F ION: $2,200. O0 <br /> <br /> RREG LOT CERNER <br /> lW <br /> <br />NO YES <br /> <br /> TYPE: BUiLDiNG PERMIT OR <br /> <br />CONTRACTOR, NO+ 64,891 <br />PRESTIGE Ff-38ILE HOME <br />8660 S~N CHEROKEE <br />TUALATIN, OREGON 9?062 <br />PHONE: 692-4256 <br /> <br /> ! 'FEN <br />BU ILD.[N6 FEE <br />PLAN RE¥i 6N <br />FLEET 3~URCBARGE -ZON~ <br />~UILOiNG $'rATE <br />ZON[NG ~URCHARGE <br /> / <br /> / <br /> <br />PAYEE: PR E, T5 'r <br />RECEIVED BY <br /> <br />x~ 'fHl[5 <br />FOLLOWING <br />ALL <br /> <br />NO: 9024604 <br /> ARCXflII'ECT/EI~GiNEER, NO. <br /> <br />,~_.. ,.,T¢ QUANTITY AfvEXJN l' <br /> $38.50 <br /> <br /> ~1.93 <br /> 1.93 <br /> <br /> TOTAL AE~ED FEES $75.07 <br /> PREVIOUS RECEIPTS <br /> <br /> ~iLE H~E SERVICE <br /> 26052 <br />c'l TYPE= CK ~ECK ~: 156 <br /> <br />A PE~iT. THIS APPLi~Ti~ ~ST ~ I'H~ A REVIE~ P~ ~ERE THE <br />BE ~PLETED: tT I~ THE R~iBILiTY OF THE APPLI~T 'f'O ~RE THAT <br />INF~'ri~ H~ BE~ P~VZOED. <br /> <br />PLAN <br /> <br />HEI(i~rl'f <br /> <br /> BY .............................. OATE <br /> CiTY JURJSDICT~ONt ~Y ............................. ~A'TE <br />BY DATE <br /> <br />BY DATE SETBACKS: FR ES RS RR SP <br />CAR~,'~T'"' ~'~ TH s'ro~B ...................................................................................... <br /> <br /> 12 'T'OTAL ~ FT: 400 S'fORiE~: q PLAN.ACTION: <br /> <br />OFFICE COPY <br /> <br /> <br />