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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 8 property I own or occupy. <br />l am a registered builder OR ( )theauthorlzedrepresentative <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other_ <br /> <br />I have read and agree to the terms stated on the reverse side of <br />this document, <br /> <br /> DATE: 12/04/92 TIME: 8:29:50 <br />OWNER; <br /> WEBER~ JOE <br /> <br /> 250 YEW CT <br />AUHSVILLE OR 97525 <br /> <br />: TAX LOT; CATEGORYz <br /> 57706-000 RESIDENTTAL <br /> <br />, ,5,:,N H r,1 <br />CONTRACT CITY; UGS: OCCUPANT LOAD; <br />; AUHSVILLE M0 <br /> <br />REBIOENTIAL ACCESSORY STRUCTURES <br /> <br />SAME <br /> <br />PHONE: 769-7744 <br /> <br />LOT: <br /> <br /> 2<) <br />WIDTH: <br /> <br />55 <br /> <br /> ST8 T E ~ <br /> <br /> SITE NUMBER: 92-01394 <br /> VALUATION; $4,940~00 <br /> <br /> 25 8S 2U <br />8,5 SF YES NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 42256 <br /> CAPITOL AWNING <br />5],8 VALLEYWOOD DR SE <br />Salem, 97806-0000 <br />PHONE~ 363-1711 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br /> 9044246 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AHOUNT <br /> $50.50 <br /> $32_85 <br /> $2.55 <br /> <br />$8.5.86 <br /> $0.00 <br />$85.86 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE~ CRAIG LUCAS a~ <br /> :~ I'YPE: IN CHECK ~: 0 <br />· THIS I$ MOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE ~ESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORMATION HAS BEEN PROVIDEO. <br /> <br />PLAN REVIEW: BY <br />ZONING: BY ......... DATE~ ~ ....... <br /> <br />CITY JURIBOIBTION; 8Y ........... OATE <br />RENARKS; CARPORT <br /> <br />HEIGHT: 12 SETBACKS: FR 10 <br />TOTAL 8Q FT: 494 LSd/ <br />STORIES: 1 RS B <br />PLAN.~CTION: RR~'LO <br />ENERGY PATH: SP'~ ....... <br /> <br />OFFICE COPY <br /> <br /> <br />