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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. ;225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> ImHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a reg s ered builde OR ( ) the au hot zed represent8 ive S[GNATU'RE OF A~PLIQANT; <br /> <br />' ' 25.; A6 YES NO <br /> <br /> DATE: 09108193 TtH~.= - 14,: 15'-' 2.~ ~×~ O:)t; r CATEGORY: <br />OWNER: <br /> I~E~F(OW JA~ES F, 4~Si~-eee ~ RIr. SIDENTIAL <br /> <br /> 15188 PARK AVE NE , CO~*~*CT C,T¥. <br /> AURORA OR 97¢82 , HARION COUNTY[ YES <br /> <br /> SINGLE FAH]LY DWELLINGS 4 <br /> <br /> A~ENT:HA~TIN CLA~K &78-1139 <br /> PO BOX 188 AURORA 97e82 SITE NUMBER: <br /> PHONE: 678-27~4 VALUATION: $129, <br /> <br />TYPE: BW£LLING PERMIT OR APPLICATION NO: <br /> <br />CON'fRACTOR~ NO. 21960 <br /> Martin Clark Construe'lion Ibc <br />PO Box 168 <br />At~ror'a~ ~70~2-80g0 <br />PHONE: 678-11~ <br /> <br />ITEM <br />DWELLING BUILDING FEE <br />DWELLING PLUMBING <br />DWELLING NECNANICAL <br />BWELLING ELECTRICAL <br />DWELLIN~ STATE SUBCHARGE <br />DWELLING PLAN REVIEW <br />TURNPIKE ~/W - BLDG INSPECTISN <br />TORNPIKE B/W - PUBLIC WORKS <br />DWELLING ZONING SURCHARGE <br /> <br /> 984~732 BP <br />ARCHITECT/ENGINEE~ NOm. <br /> <br />QUANTITY <br /> <br />PI4ONE: <br /> <br />FAYEE. JIM & JUDY MEIROW <br />RECEIVED BY: MB ................... = ..................... <br /> <br />AMOUNT <br /> <br /> $180,57 <br /> $44.98 <br /> $140,97 <br /> $43.08 <br /> $185,00 <br /> $1,00 <br /> $16.00 <br /> $15.00 <br /> <br />TO AL ASSESSE~,FEES <br />PREVIOUS RECEIPT~ <br />THIS RECEIPT <br /> <br /> BALANCE DUE <br /> <br /> 90.00 <br />$1~121,65 <br /> <br /> 5207~8.00 <br />TYPE: 6K CHECK ~: <br /> <br />* THIS IS MOT A PERMIT. THIS APPLICATIOHMUST 61] THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THEAPPLICANT TO ASSURE THAT <br /> <br />LL NECESSARY INFORMATION MAS BEEN PROVIDEB. <br />PLAN REVIEW:~IY.,~_"f~_/~ DATE ~,-~i~.~ HEIGNT: 24 <br /> ~ONING: BY ~ TOTAL SQ F'T: <br /> ....... BATE-~; ~-¢ ~ ~..-,~ - .... <br /> ~EPTIC: BY ....... [~--:6~ .......D ATE--~,'.~,~ <br /> ~UBLI6 WOR~E-~* ................ bAT~ ....... PLAN, ACTION: <br /> E~E~Y PATH: <br /> CITY JURISDICTION: BY BATE <br /> ~EMARKS: RES~ SS~ DRIVE <br /> <br />3077 <br /> <br />SE'I'BACKS: F'R <br /> RS--'~- <br /> SI;', <br /> <br />OFFICE COPY <br /> <br /> <br />