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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 ~, 5 <br /> <br />'rh¢ work will be perforr~ed by a registered builder, <br />Other <br />I hmve read 81~d aBree to the terms stated on the reverse side of DAT~: <br /> <br />OWNER: l'~"['tiii~; ~(~/:l,(~/(~ '-"" 18. 48. ~*, TAX LOT; ,CATEGORY; <br />:' ~hF'F, DhV~ <br /> <br /> ~ U~: ~[~ANT LOAD: <br /> .i.~.46~ STE~NK~P R~ <br /> AUMSV~I_LE OR e7352 , bt~l~IOi,t 60UNTYJ NO <br /> <br /> STTE HUMBER.- <br />PHOME: ....... <br /> 747'-~.;~J8 : VALUATION: $14,858° 00 <br /> BLOCK: : SECTION'. MAP; <br /> ~C J__ Y.ES J -.-NO <br /> <br />TYPE: BUILBING PERMIT OR APPLICATION NO: <br /> <br /> ITEM <br />BtJIL, DIN6 FEE <br />PLAN R~VIEW <br />BUIL~]:NG STATE SURCHARGE <br />ZONING SURCMARGE <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSEB FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUHT <br /> $118.50 <br /> $71,8~ <br /> $5.5~ <br /> $5.5~ <br /> <br /> ~ BALANCE DUE $8.88 <br /> PAYEE: Bresee Homes Inc ~ 52~42 <br /> RECEIVED BY: DM2 ............................. ==~'~_-~====:._2 ...... TYPE: CK CHECK ¢: 7647 <br />~ THIS ZS NOT A PERN~T. THISAPPLIC~TION NUST Gi~ THROUGH A REVIE~ PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY INFORMATION ~AS BEEN PROVIDED. <br /> <br />PLAN RE¥IE~ ~Y.~.~,~,~.~ ~ATE <br /> <br />CITY JURI:SDIOTION: BY .................. ])ATE <br />REMARKS: RES:A~DN <br /> <br />HEIGHT: SETBACKS: FR <br />TOTAL SQFT: ;:~;0 LS- <br />STOR IRS: .% RS-" '--- <br />PLAN. ACTION: <br /> sP'.%F5 <br />ENERGY PATN: <br /> <br />OFFICE COPY <br /> <br /> <br />