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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG NO 225 <br />220 HIGH STREET NE <br /> SALEM OR'EGON §7301 <br /> <br /> PHONE:: 588-5147 8::00 - 4:30 <br />24 HOUR CODE-A-PHONE:: 588-7904 <br /> <br />of a registered builder <br /> <br />Other <br /> <br />I ha~e read and a~=lree to the terms stated on the reverse side of <br /> <br /> DATE: 06/07/9t TIME: 16:40:09 <br />OWNER <br /> ADAJV~, JULiE ANN <br /> <br /> 260 EYERGREEN OR <br />AUt4SVi LLE OR 97388 <br /> <br />6 CONTRACT CITY <br /> <br /> AUM~ViLLE <br /> <br />5"-N <br /> UGB <br /> <br />NO <br /> <br />CATEGORY <br />OCCUPANCY <br />OCCUPANT t <br /> <br />MAIUNG ADDRF,~S RESIOF3'4riAL ACTJE~SORY STR~JCIURES <br /> <br />5UBDI¥1SION <br /> <br /> EVERGREEN MH ESTAIE~ <br />8626 SE ~flONE <br />PORfLANO, OR 97286 <br />PHONE: ?88-0353 SITE NUMBER: 13056 <br /> VALUATION: $1,000.00 <br /> <br /> 55 87 4785. SF NO NO <br /> <br /> TYPE: BUILDING PER~4if OR APPLICATION NO: <br /> <br />CONTRAC[OR, NO. 4096 <br />VALUE IYIO81LE <br />10017 SE 82ND <br />PORILAND, OR 97266 <br />PHONE; <br /> <br />BUILDING FEE <br />PLAN REVlEN <br />BUILDING SLATE SURCHARGE <br /> <br /> 9032830 <br />ARC~IIECT/ENGiNEER, NO. <br /> <br />PHONE: <br /> <br /> QUANIiIY AIvlOUNT' <br /> $17.50 <br /> $11.36 <br /> $0.66 <br /> <br /> TOFAL ASSESSED FEES $29_76 <br /> PREVIOUS RECEIPTS ~o,O0 <br /> THiS RFJCEiPI $29."!6 <br /> <br /> BALANCE DUE $8.09 <br /> <br /> PAYEE: VALUE IcE)BiLE BOIVl~ ~ 34624 <br /> RECEIVED BY; L~2 ................................................................. TYPE; ~N CHECK ~ 0 <br /> <br /> ~ THiS 15 NOI A PEt~41'i. THiS APPLICAliO'N F4UST <br />FOLLOWING f4usr BE C~PLEFED+ iF iS THE R~FONSIBILi'FY OF THE APPLICANI rD A~RE IHAF <br />ALL NEC~ARY INFORRAIION HA~ BEEN PROVIDED. <br /> <br /> .... <br /> OilY JURISOIGIIiON: BY DATb <br /> SERliO: BY DATE <br /> <br /> ZONING: BY DAVE SEIBACKS: PR 10 LS 10 ~ 10 RR 10 5P <br /> REMARKS: CARPVORT?r_tC, RAGE <br /> <br /> HblGHf: TOTAL 5Q Fl: 240 SIORiES: 3 PLAN.ACilON: <br /> <br /> <br />