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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: 568-7904 <br /> <br /> Other <br /> <br /> DATE: 10/11/9~ 'r Z ME.- 16:14:~0 <br />! dWNER; <br />i MILL CREEK ESTATES (MH PARK) <br /> <br />RESIDENTIAL <br /> <br />SITUS ADDRESS: : <br /> <br /> NO <br /> <br /> RESIDENTIAL ACCESSORY ~TRUCTURES <br /> <br /> MILL CREEK ESTATES <br /> 9725 Hill CREEK RD ~E <br /> AUHSVILLE. OR 97~25 SITE NUHBER: 9~-0~524 <br /> PHONE: ~6~-~8~ VALUATION: <br /> <br /> 8B 2W <br />:DEPTH: AREA: UN TS: <br /> <br />TYPE= BUILDIHG PERMIT OR APPLICATION HO: <br /> <br />CONTRACTOR~ NO. 42256 <br />Del McCorMick <br /> <br />SaleM~ 97~8~-~000 <br />PHONe: ~6~-1711 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE: Oel McCormick <br /> <br />ARCNITECT/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSE~ FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br />$65.46 <br /> $0.88 <br /> <br />52997 <br /> <br /> RECEIVED BY: PM TYPE: IN CHECK ~: 0 <br /> <br />~ THIS IS NOT A PERH[T. THIS RPPLICATION HUST GO THROUGH A REVIE~ PROCESS ~HERE THE <br />FOLLOWZHG MUST BE COMPLETED. IT IS THERESPONSIBILITYOF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY INFORHATIOH HAS BEEN PROVIDED. <br /> <br />ZONING= BY ~Z~'ZSS- <br /> <br />CITY JURISDICTION: BY .......... DATE ........... <br />REMARKS: CARPORT - SPACE ~ <br /> <br />HEIGHT: SETBACKS: FR 11 <br />TOTAL SO FT: 300 LS-15 <br />STORIES: 1 RS-:15 <br />PLAN.ACTION: AR-lO <br />ENERGY PATH: SP'"~ .......... <br /> <br />OFFICE COPY <br /> <br /> <br />