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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 /> [ am performing work on a property I own or occupy. <br /> I am a registered builder OR the authorized representative SIGNATURE OF APPLICANT~ <br /> of a registereg builder, <br /> The work will be performed by a registered builder, <br /> Other. <br /> <br /> DATE." 06/25/92 TINE: 15:10:$8 <br />: oWhE~i ]~ Y~ 'Y ' <br /> HRRI. DALE : /75~0500 i ~NTIAL <br /> ~TU~ ADD~E~S: [ O~or~TRUCTION TYPE'. : OCCUPANCY: <br /> <br /> 8903 SHAW SQUARE RO SE (FA~,i%B%h;'~,;f, ~ ~[ ,~I ~OCCUPANT LOAD'. <br /> AUMSVILLE OR 97325 ~ M~RI~ ~OUNTY <br />:U~E 0¢ BUILDING; ',NO OF BEDROOMS: <br /> RE~IOENTIAL ACCESSORY STRUCTURES <br /> <br /> SEPTIC INFO <br /> SITE NUMBER: <br /> PHONE: VALUATION: $11,655. O0 <br /> <br /> I <br /> <br />TYPE: BUILBIN8 PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 75100 <br /> L & N CONSTRUCTION INC <br />1147 ARABIAN AVE SE ~ <br />SALEM, 97301 <br />PHONE: 58i-8550 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br /> 9040888 <br />ARCNITECT/ENSINEER, NO. <br /> <br />PHONE= <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $92~50 <br /> $60.15 <br /> <br /> $4.65 <br /> <br /> , BALANCE DUE $0.00 <br /> PAYEE: L & M CONST~TION INC 42922 <br /> RECEIVEO BY: PW_~ ~ TYPE: CK CHECK ~- 4988 <br /> <br />* THIS IS NOT R PERMIT., Tfl~S ~PPLIC~T[OR MUST 60 THROUeH R REVIEW PROCESS WHERE THE <br />FOLLO#IN6 MUST BE COMPEETEO'. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE TflRT <br />LL NECESSARY INFORMATION H~S BEEN PROVIBEO. <br /> <br />PLAN REVIEN: BY~5~:~ ..... DATE <br />SEPTIC: BY .............. DATE ___ <br />CITY JURISOICTION: BY DATE_, <br />REMARKS: STORAGE GARAGE <br /> <br />HEIGHT: 14 SETBACKS: FR <br />TOTAL 3Q FT: 2400 LSZ~CZ <br />STORIES: 1 RSvp_ <br />PLgN.ACTION~ RR _~,.~' <br />ENERGY PATH: SPZ__] <br /> <br /> <br />