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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLOC, 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 />of a registered builder, <br />The work will be performed by a registered builder, <br /> <br />this document. <br /> <br />TRAflEL, GREGG ......... i ...... J R~)ENI'~AL <br /> <br /> ].Z7~9 ~R~LER LANE NE ~88~TRACT CITY: UGBL ~OCCUPANT LOAD: <br /> AURORA OR 97~2 ~ HAR[ON COUNTY NO <br /> <br /> RESIDENTIAL ACCESSORY STRUCTURES <br /> ...... <br /> <br /> CANBY OR 9781~ ~ ~, SITE NUHBER= <br /> <br />TYPE= BUILDING PERHIT OR APPLICATION fist ~48547 <br /> <br />CONTRACTOR. NO. <br />TRANEL~ GREGG <br />235 S. IVY <br />CANBY OR 77913 <br />PHONE: 2&6-3775 <br /> <br />ARCHITECT/ENGINEER, NO. <br />PHOHE: <br /> <br /> ITEH <br />DUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $38.50 <br /> $25.03 <br /> $1.73 <br /> $1.93 <br /> <br />$26.46 <br /> <br /> PAYEE: TRANSL. GREGG 5e868 <br /> RECEIVED BY: PM .................................. TYPE: CK CHECK ~: 3224 <br /> <br />FOLLOWING NUST BE CONPEETEB.'"'IT ,ZS,;'THE RESPONSIBIEZTYOF' THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY [NFORNATION, HAS BEEN'PROV~ED. <br /> <br />PLAN REVIEW: BY DATE ,' ',HEIGHT: <br /> # <br /> ~ATE--~T~.5~'-~.~.~' TOTAL,S? FT: <br />SEPTIC: BY ............... <br /> PLAN.ACTION: <br />CITY JURISDICTION: BY _ BATE ............... ENERGY PATH: <br /> <br />SETBACKS: FR / 0 <br /> <br />~o,~ # ~1c ~s-~s REV. 4/~0 OF FICE COPY <br /> <br /> <br />