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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 I E',CCv ' ' -"--'""'~ / /'*" ~ <br />of a registered builder, /~// <br />The work will be performed by 8 registered builder, <br />Other <br /> <br /> DATE: 02/02/95 TIME~ <br />OWNER: <br /> <br /> BURLEIGH, JAMES & LECTA <br />SWUS ADDRESS: <br /> <br /> 11982 STEINKAMP R0 SE <br /> AUHSVILLE OR 97325 <br /> <br />USE OF BUILDING: <br /> <br /> RESIDENTIAL ACCESSORY STRUCTURES <br />MAILING ADDRESS; <br /> <br /> Box ,81, o2 <br /> SALEH 97505 <br /> PHONE: 595-8790- <br /> <br />:LOT: BLOCK: SECTION: <br /> <br />TOWNSHIP: <br /> <br />TAX ~OT: CATEGORY: <br />56810946 RESIOENTIAL <br />CONSTRUCTION TYPE: OCCUPANCY; <br /> <br /> 5~N <br />CONTRACT CITY; UGS; :OCCUPANT LOADI <br /> MARION COUNTY~ NO <br /> <br />SITE NUMBER: 93-00150 <br />VALUATION: $8,000.00 <br /> <br />RANGE: ZONE; MAP: <br /> <br />1.666 AC <br /> <br />NO NO <br /> <br />4B <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR NOt 148'76 <br /> Western Lzving Homes <br />4835 Portland Rd NE <br />Salem. 9~305-0000 <br />PHONE~ 393-7553 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE: JAMES BURLEIGH <br /> <br /> 9045102 <br />ARCHITECT/ENGINEER, <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $68.50 <br /> $44.53 <br /> $3.45 <br /> $3.45 <br /> <br />$1].9.89 <br /> $0_00 <br />$119.89 <br /> <br />BALANCE DUE $0,,00 <br /> <br />4'72'76 <br /> <br /> RECEIVED BY: PH .................................... TYPE: DK CHECK ~: 5099 <br />* THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS ~HERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THA~ <br />LL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />PLAN EVIEW:: Y <br />ZONING: BY <br /> <br />CiTY JURISDICTION: BY .......... GATE .......... <br />REMARKS: GARAGE <br /> <br />HEIGNT: SETBACKS: FR <br /> "- '"_'5"> <br />TOTAL SQFT: 720 Lo__c. ..... <br />STORIES: R 8 _~.," <br />PLAN~ ACTION: R R,....~,~,,/ <br />ENERGY PATH: SP .......... <br /> <br />OFFICE COPY <br /> <br /> <br />