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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HiGH STREET NE <br /> SALEM, ORBGON 97301 <br /> <br /> PHONE: 588~5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> I am performing work on a property I own or occupy. <br /> I am a resistered builder OR the authorized representative SIGNATURE OF APPLICANT: <br /> of a registeFod builder, ' <br /> [ilo work will be pedormed by a registered builder. <br /> Other <br /> I ave read and agree to the terms stated on the reverse side of DA'rE,. <br /> this document. <br /> <br /> HILL B~EEK ESTATE~ (HH PARK) RESIDENTIAL <br /> <br /> AUMSVILLE OR ¢7725 AUHSVILLE NO <br /> <br /> RESIDENTIAL ACCESSORY STRUCTURES <br /> <br /> 9725 HIL~ gREEK RD SE <br /> AU~SV2LLE. OR ¢7~25 SITE HUHBER: ~$-~52~ : <br /> PHONE: ~-6~8~ VALUATION: $3,~88.~ <br /> <br />..................... 8S ....... ~ 2W ......... : ...... <br /> <br /> 5~ , ~5~ ~575. : SF ~ NO <br /> <br />TYPE: BUILDIHG PERHIT OR APPLICATION HO: <br /> <br />CONTRACTOR, NO. 42256 <br />Del McOor~zck <br />518 Val].eywood Dr SE <br /> <br />FHONE: ~6~-1711 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE: <br /> <br /> 58594 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />ANOUNT <br /> $~8.50 <br /> $25.0~ <br /> <br />$~5.4& <br />$85.4& <br /> $0.00 <br /> <br />BALANCE DUE $8.88 <br /> <br /> REaEIVE9 BY: PB TYPe: CHECK ~: 0 <br /> <br /> ~ THIS IS A VALID PERHIT. THIS PER~IT EXPIRES 180 DAYS FROH ~TS ISSUE DATE. IF <br />COHSTRUCTIOH CEASES FOR A PER~O90F'18B DAYS~ OR 'IF CONSTRUCTIOH FAILS TO HEET ~LL <br /> EQUIREHEHTS OF STATE LAgS AND HARIOH COUH~Y BUZLDIHg AND ZOHIHG ORDINANCES, THiS PERHIT <br /> ALL BEC[IHE HULL AHD VOID. , <br /> <br />ENERGY PATH: <br /> <br />REMARKS: CARPORT <br /> <br />HEIGHT:: SETBACKS: PR ll <br />TOTAL SQ FT: ~00 LS-10 <br />STORIES: RS"I~ <br />PLAN.ACTION: RR-10 <br />ENERGY PATH: SP] ...... <br /> <br />DONOt. D me. WOODI.,EY~ MARION COUNTY BUILDING OFFICIAL / BY ...... /~__ .................... <br /> <br /> <br />