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MARION COUNTY BUILDING iNSPECTION <br /> SENATOR SLOG. NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97..301 .-.~--~x <br /> <br /> 24 HOUR CODE-A-PHONE: 588-7904 ~ <br /> <br />I am Derformi~g work on a property I own or ~ccupy, ' /,~ <br />ct a feOlstered buflde . / ~ ~"~ <br /> <br /> have read and egree to the terms stated on the reverse side of DATE'. ,. <br /> <br /> GARRISON, D~N 74~?1~ i RESIDENTIAl.. <br /> <br /> AU~SV~;LLE OR 97~25 i ~ARION COUNTY: NO <br /> <br /> 7585 BATTLEC~EEK RD SE <br /> OAI,,EM OR 97381 : SiTE HU~BER: 93-83218 <br /> PHONE: ~78-2~8~ VALUATION: <br /> <br />TYPE: DWELLIHG PERMIT OR APPLICATION <br />CONTRACTOR, NO. 86219 <br /> <br />7588 Bmttle Creek Rd SE <br />8a].el% <br />PI-IONE~ 588-~581 <br /> <br /> ITCH <br />~ELI..~NG ~U[LDZN6 FEE <br />D~ELLZN~ PLUH~ING <br />DWELLING HECHANICAL <br />DWELLING ELECTRICAL <br />DWELLING ~TATE SURCHARGE <br />DWELLING PLAN REVIEW <br />TURNPIKE Q/W - BLDG I~SPECTION <br />TU~NP:[KE D/W - PtBLIC. WORK8 <br />DWELLING ZONING 8ORCHARGE <br /> <br />ARCHITECT/ENGINEER, <br /> <br />PHONE,' <br /> <br />~OTAL ASSESSE9:FEE8 <br />FREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $522,28 <br /> $190,44 <br /> $47,45 <br /> $148~71 <br /> $45,44 <br /> <br /> $16. oo <br /> $15.00 <br /> <br />!I1,171.32 <br /> $0,00 <br />$1,I71~~2 <br /> <br /> BALANCE DUE $0,00 <br /> PAYEE: VALLEY OAK¢~J~- 82~49 <br /> RECEIVED BY: fib ..~__:~,~ TYPE: CK CHECK ~::' 431 <br /> _-~,~.,.,2_~ ............. 2~" '+,.~,~~:~: .................................................... <br />* THIS IS NOT A PERMIT. THIS APPLICATION ~UST ~0 THROUGH A REVIEW PROCESS WHERE THE <br />FOLLQWIN~ NUST BE CONPLETEB, IT IS THE RESPONSIBiLiTY OF THE APPLICANT TO ASSORE THAT <br /> <br />LL NECESSARY IHFORt~T~ HAS BEEN ~P,..,ROVII)ED. <br /> ZONING., ~Y .'~.~7'~:~"Y ...... DATE--~--'-/''~''--'~'li'' -Z <br /> <br /> CIgY JUR];~DICTION~ BY ........... DATE .............. <br /> REHARKS: <br /> <br />HEIGHT: 25 SETBACKS: FR <br />TOTAL S~ Fl': 3246 ~S-~- <br />s'roRzES: 2 <br />PLAN. ACTION: <br />ENERGY PATH: SP ....... <br /> <br /> I)P/~S: STD <br /> <br /> OFFICE COPY <br />FORM # MC 15-86 R~V. 4/90 <br /> <br /> <br />