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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 NIGH 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)ATE: ],0/07/9~ TIiflE: 9:~9:56 <br /> <br /> 6171 SANTIAM SPRINGS CT SE <br /> AUHSVILLE OR 97325 ~8~cJ~UNTY; u~ OCCUPANT LOAO: <br /> <br /> gANTIAM SP~INGS ESTATES <br /> 7583 BATTLECEEEK RD SE <br /> SALEH OR 77381 SITE N~BEE: <br /> PHONE: 37~-2588 VALUATION: <br /> <br /> 23 ~ 8S 2W ~ AR ; 51 <br /> , <br /> <br />TYPEr, BU'rLi)IHG PERMIT OR APPLICATION <br /> <br />CONTRAC'roR~ NO. 86219 <br />Lance Miller <br />7585 Battle Creek Rd SE <br />Sale~ 97381-0080 <br />PHONE: 588-9581 <br /> <br /> ITEM <br />FOOTING/FOUNDATION 0NLY <br />ADDITIONAL SURCHARGES~ <br /> <br />PAYEE: <br /> <br /> 9~5~496 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED: FEE8 <br />PREV.~OU8 RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY AflOUNT <br /> $25.00 <br /> $1.25 <br /> <br />$26.2~ <br /> $8.00 <br /> ¢0.00 <br /> <br /> RECEIVED BY: cl , TYPE: CHECK '~: 0 <br /> <br /> * THIS TS NOT R PERHIT. THIS ApPLICATiON HUST r,o THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COHPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY ~NFORHATIOH HAS BEEN <br /> ~ ~ A .......... <br /> PLAN R[V~EW~ ~ ~A'TE'Le ='~¢~%~IGHT: SETBACKS: FR <br /> ZONIN6,, BY ~ ................ ~A'fE .............. TOTAL SQ PT: <br /> SEPTIC,, BY .... "F .... .- DATE . STOklES. <br /> PLAN. ACTION: RR <br /> CITY JURIGDIOTION= BY~ ....... 'DATE ......... ENErgY PATH: SP',~'_~ <br /> REMARKS: FO0TING FOUNDATION ONLY (BAL ~UE) <br /> <br />FORM # MC 15-56 R~V, 4/90 OFFICE COPY <br /> <br /> <br />