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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 />The work wHI be perfornled by ~ regimtered builder, <br />Other <br /> <br /> DATE: 10/21/9S T~E: .... <br /> TRE,JO~ ROBERT <br /> 5-N ~--1 <br /> ALMSVILLE OR ~7~25 AUMSVILLE <br /> <br /> RESIDENTIAL ACCESSORY STRUCTURES <br /> <br /> ! SITE HUfl~ER: ~$-~3662 <br /> PNONE= 581-1197 VALUATION: $3,888.88 : <br /> <br /> 24 ~ 8S ' 2W L RO ..... J.~ ' <br /> <br />TYPE: BUILDING PERNIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO. 42256 <br />DeS McCorMzck <br />518 Valleywood mr SE <br />Salem, 97~06-0080 <br />PHONE: 36~-1711 <br /> <br /> ITEM <br />BUILDINO FEE <br />PLAN REVIEW <br />BUILDING STATE S[JRCHARGE <br /> <br />PAYEE: Del McCormick <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS,RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $~8.50 <br /> $25.03 <br /> <br />$65~46 <br /> $0.00 <br />$65.46 <br /> <br /> 5~238 <br /> RECEIVED BY: PM ................................ LL£=£==L_,=~_ TYPE: IN CNECK ~: 0 <br /> <br />FOLLOWING MUST BE COMPLETE~. ,iT IS;THE,RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY INFORHATIONHAS BEEH PROVIDED. <br /> <br />PLAN REVIEW: BY HEI~NT: <br />ZONING: BY TOTAL .SO FT.": <br />SEPTIC: ~Y mAT:-'-ZzE_-EZzZzE STO~ZES: <br /> PLAN. ACTION': <br />CITY JURISmI[,TION. BY mATE ENERGY PATH: <br /> <br />REMARKS: AI..UM. CARPORT <br /> <br />300 <br /> <br />SEIBA(,Ko. <br /> <br />FR 10 <br />LB--6 <br />RS'-/ <br />RR-10 <br />SP_~ ............ <br /> <br />FORM # MC 15-5~ R~V, <br /> <br />OFFICE COPY <br /> <br /> <br />