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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 22,5 <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 />Iarn performing work on a property I own or occupy. <br />[ ~l~ a registered buiIdor OR ) the authorized representative <br />of a re¢istered builder, <br />The work will bo gerformed by a registered builder. <br /> <br /> J have read and aSree to the terms stated on the reverse side of <br /> this document. <br /> <br /> DATE,~ 18/87/9~ TIME: <br />OWNER: CONNIE NEEi,.EY <br /> <br /> ~4 ASPEN BR <br />AUNSVILLE OR 97325 <br /> <br />SIGNATURE OF APPLICANT: <br /> <br />DATE: <br /> <br />TAX LOT; <br /> <br />:C~Eq~ENTIAL <br /> <br />C~N~TRUCTIO N TYPE: OCCUPANCY: <br /> M-1 <br /> <br /> OCCu~,^NT LOAO~ <br /> <br />0SE oF aU~LCi~SiDENTiAL ACCESSORY STRUCTURES <br /> <br /> ' ~LL CREEK ESTATES <br /> AGENT: CRAIG LUCAS-SANTIAM HONES <br />i 769-7744 <br /> PHONE: VALUATION: $3~880.88 <br /> <br />TYPE: BUILDING PERHIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO. 42256 <br />Del McCor~ick <br /> <br />PHONE: ~6~-.171i <br /> <br /> ITEM <br />BUILBING FEE <br />PLAN REVIEW <br />BUILBING STATE SURCHARGE <br /> <br />ARCHITECT/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSEB FEES <br />:PREVIOUSREOEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br /> $25.03 <br /> ¢1.93 <br /> <br /> PAYEE: Del McCormick \~~-~"~ 52~o~ <br /> <br />I THIS iS NOT A PERHIT. THIS APPLICATION HUST~ THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOW~NC MUST BE CONPL~ED.: ZTISTXE RE~ONSIBIL~TY 0F THE APPLZCANT TO ~SSUEE THAT <br /> LL NECESSARY INFORHATZON HAS BEEH PROVZB~. <br /> <br />ZOHING: BY ........... BATE ......... <br />SEPTIO: BY ............... BATE <br /> <br />CITY JUR~SBICTION: ~Y DATE <br />REMARKS= CARPORT <br /> <br />HEIGHT: 18 SETBACKS: FR 11 <br />TOTAL SQFT: ~80 LS-10 <br />STORIES: 1 RS-10 <br />PLAN. ACTION: RR"'iO <br />ENERGY PATH: SP~ .......... <br /> <br /> <br />