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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 <br /> <br />lam~reglsteredbuilderOR( ) the authorized representative <br />Other <br /> <br /> DATE: 10/87/9J TIME: <br />OWNER: SANTIAM NONES <br /> <br /> S~ ASPEN DR. <br /> AUMSVILLE <br /> <br />10:02:14 <br /> ........ TAX' LGT; <br /> <br /> "~NST~UO'trON TYPE' <br />OR 97525 ~ fCS~TrI ~E'iE <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE; <br /> <br /> ' c~Eq~°t~EN T I AL <br /> <br /> OCCUPANCY: <br /> R-~ <br /> <br /> i OCCUPANT LOAD: <br /> <br />USE OF.U,LO,~CESiDENTIAL ACCESSO~'"~TRUCTURES <br /> <br />MAI _lNG AD~RES~; ..... <br /> <br /> AGENT: CRAIG LUCAS <br /> <br /> PHONE: 769-7744 <br /> <br />suBu'vc¢'~ CREEK ESTATES <br />........... ~ITE HUHBER~'""~3=83~7~ ...... <br /> VALUATION: $3,000~88 <br /> <br /> .... MAP' <br />'LOT' BLOCK: ' ~EC"ClON; TOWNSHIP: RANGE ZONE: <br /> <br />............" <br />~w,am; 78 OR,TH'. ............ ~-"^~EX .... 4,~"~'"UNI~F ..... ;E~. LOt'. <br /> <br />TYPE: BUILDING PERHIT OR APPLICATION ~0: <br /> <br />gONTRA~TOR~ ~0. 42258 <br />518 Valleywood Dr SE <br />Salem, 97~06-8000 <br />PHONE: ~-17~ <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br /> ITEM QUANTITY AMOUNT <br />BUILD]:HG FEE $38.58 <br />PLAN REVIEW $25.03 <br />BUILDING STATE SURCHARGE $1.93 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />$65.46 <br /> $8.88 <br />$65.4& <br /> <br /> ~NCE DUE $8.08 <br /> PAYEE: Del McCormick J I 52895 <br /> RECEIVED BY: DM2 .................. == ~_====: ...... TYP? IN CHECK ~: .0 <br /> <br />$ THIS IS HOT A PERNIT. THIS APPLICATIOH HUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FSLLOMING HUST BE CONPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY [NFORHAT[ON HAS BEEN PROVIDES. <br /> <br />ZONING: BY .......... DATE"------_ ............. <br />SEPTIC= BYZZZZZZZZZZZZZZ: DATE ............. <br />CITY JURISBICTION: BY ........ DATE .......... <br />REMARKS: CARPORT <br /> <br />HEIGHT: FT10~ SETBACKS: F'R 11 <br />TOTAL SQ 308 LS-10 <br />STORIES: 1 R8-10 <br />PLAN. ACTION: RR'"iO <br />ENERGY PATH: SP~ .... <br /> <br />OFFICE COPY <br /> <br /> <br />