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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 &m performing work on 8 property I own or occupy. <br /> lamaregisteredbulderOR( )theauthorzedreoresentstwe <br /> of a registered bu Ider. <br /> TDe work will be performed by a registered builder. <br /> Other-- <br /> I have read arid ~Oroo to the terms stated on the reverse side of <br /> this document <br /> <br /> OATE: 11/13/92 TIME: 14:24:39 <br />OWNER; <br /> KREMER, PAN & JESSE SOLANO <br />SJUS ADDRESS: <br /> <br /> 655 5'fH SI' <br /> AUMSVILt. E ~1~ 97525 <br /> <br />USE OF BUILDING; <br /> RE$IOENTIAL ACCESSORY STRUCTURES <br /> <br />MAILING ADDRESS <br /> <br />PO BOX 216 <br />AUNSYILLE OR 97525 <br />PHONE: 749-1015 <br /> <br />LOT: SLOCK: SSOTION: TOWNSHIP: <br /> 14 i 25 8S <br /> <br /> 95 63 5985~, SF <br /> <br />DATE~ <br /> <br />70110-130 RESIDENTIAL <br />CONSTRUCTION TYPE: OCCUPANC <br />5-N H-I <br />AUNSVILLE NO <br /> <br />WILQWO00 AOON ~1 <br /> <br /> SITE NUMBER: 92-04011 <br /> VALUATION: $4,416. O0 <br /> <br /> 2W RS <br /> NO YES <br /> <br />TYPE: 8UILOING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />KREHER, PAM & JESSE SOLANO <br />PO BOX 216 <br />AUNSVILLE OR 97525 <br />PHONE: 749-1015 <br /> <br /> 9043895 <br />ARCHITECT/ENGtNEER~ NO. <br /> <br />PHONE: <br /> <br /> ITEM QUANTITY AMOUNT <br />BUILDING FEE $50.50 <br />PLAN REVIEW $32.83 <br />BUILDING STATE SURCHARGE $2.53 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$85.86 <br /> $o.oo <br />$85.86 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: KREMER, PAN & JESSE SOLA~ 45965 <br /> <br />*TH[$ IS NOT n PERM%T. TM;~ ;PPLZCATZO. MUST ~0 THROU6~ ; REV;E. PROCESS .HERE THE <br />FOLLO.IM6 MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF T"E APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORHATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY ~E OATE -¢q-9 HEIGHT: 14 <br />ZONING: BY ...... DATE ......... TOTAL SQFT: <br />SEPTIC: BYiSSSSSSSSSiiiii OATESSiiSiSSSSSS STORIES: <br /> PLAN.ACTION: <br />CITY JURISOIOTION: 8Y ........ DATE ......... ENERGY PATH: <br /> <br />REMARKS: STORAGE 8L06 <br /> <br />368 <br /> <br />SETBACKS: FR 20 <br /> LSS20 <br /> RS 7 <br /> <br /> SP .... <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. 4/90 <br /> <br /> <br />