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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 />J am performing work on 8 property J own or ocGupy. <br />l am a registered builder OR ( )theauthorizedrepre~entabve <br />of a registered builder, <br />The work will be performed by a registered builder. <br />Other_ <br /> <br />OWNb~.'f'E: 04/07/92 'fl,ME: <br /> F,%')'f'HE'rES, NICK <br />SlYUS AOORESS; <br /> <br /> 270 IgWERSREE;N DR <br />AUf'4SV l LLE OR <br /> <br />USE OF BUILDING: <br /> <br /> 5?706-000 <br /> 5~N <br />AUr4~V ! gLE. NO <br /> <br />RES1 DENT iAL <br /> <br />MAILING ADOR~SS, RE~IDEN'f'IAL ACC~RY STRUCTURES SUBDIVISION. <br /> <br />EVERGREEN E~TA'I'g~ YIH PAMK <br /> <br />LOT. E~LOCK SECTION TOWNSNIP <br /> '! 25 <br /> 58 85 <br /> <br /> st'rE NUI',IBER~ 92-01389 <br /> VAt_UA'I'i©N: $3.120.00 <br />RANGE ZONE: MA~' <br /> <br />YES NO <br /> <br />TYPE.' BUiLBtNG <br /> <br />CONTRAC'fOR, NO+ <br />PO'rHETES, NiCK <br /> <br />PERMIT OR APPLiCATiON NO: <br /> <br /> 9039209 <br />ARCHI'fECI'/ENGiNEER, NO. <br /> <br />PHONE.* <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN RE¥1EN <br />BUILDIN6 STATE SURCHARX~E <br /> <br />PHONE: <br /> <br /> TOTAL ~EO FEES <br />PREV10'US RECEiPI'8 <br /> THiS RECEIPT <br /> <br />BALANCE DUE <br /> <br />6~JANI'iI'Y <br /> <br />A~OUN'f' <br /> $44.50 <br /> $28.93 <br /> $2_23 <br /> <br /> $0.00 <br /> $75_ 66 <br /> <br /> $o.oo <br /> <br />PA~EE; CRAIG LUC.,~,~S ~% , , 41235 <br />RECEIVED BY: PB ~/ TYPE; IN CHECK ~: 0 <br />.................... ~%-- ~ ~",F' ;-',';" ;",7;,;" T;' -' ;-','""T,- ........................... ¢i-/- <br /> <br /> FOLLOWING ~US'f' BE O~PLE'f'6O, J'r Is THE R~SiB~Lt'rY DP THE APPLZC~'r TO A~RE 'rHA'r <br /> <br /> C1TY JURISDicrIoN: BY <br />SEPTIC: BY DATE ENEF4GY PATH; <br /> <br />ZONING: BY DATE SE'f'BACK~ FR 10 L~ 30 R~ 10 RR 10 ~P <br />RE~ARKS~ CARPORT ................................................................... <br /> <br />HEZGHf': 11 'I'O'I'AL SQ F'i': 312 S'I'OR1ES; 1 PLAN.ACTION; <br /> <br />DAlE <br /> <br />OFFICE COPY <br /> <br /> <br />