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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: 888-8147 8:00 - 4::30 <br />24 HOUR CODE-A-PHONE; 588-7904 <br /> <br />[ am a registered builder OR ( ) the authorized representatlve <br /> <br />The work will be performed by a registered builder. <br />Other. <br /> <br />have read and agree to the terms stated on the reverse side of <br />this document. <br /> <br />OWNER; TAX I. OT <br /> S~'['{'H,,61. 6N 4(.'/3'~ C;,-,.002 <br />SITUS AODR~S$: CONSTRUCTION TYPE. <br /> <br /> AURORA OR 77~02 HARtOfl COUNTY NO <br /> <br />S]l,ll;,Lf.; F'AH'q...Y DWEL. L]'NGS <br /> <br /> ALOHA OR '?7087 /"% ~ ~ ~ SITE NU~BE~: ~ <br /> <br />COT~' { ............ ~ 'R~NG~ I MAP; <br /> <br />..........................WIDTH'. IDE PTH: AR~A; ' ...................... TB~S; ..................... ~-&'~e.' ES~: ............ <br /> ~ I ~ 52 AC qB NO <br /> <br />TYPE: DWELLING PERHIT OR APPLICATION HO: ~55362 DP <br /> <br />(';ONTRACTOR,, NO. ARCHiTECT/ENGINEER. NO. <br />SMI'rH~ ALAN <br />PO ~OX 6779 <br />AI.OI-IA OR 971~07 <br />PNONE: 625-6487 PHONE: <br /> <br />I'I'EH <br />DWELLING B(JILD,~N6 <br />DWE'L. LIN6 PL, UMB'rNG <br />~ELL~NG ~EGHAH.[CAL <br />BWELLING ELECTRICAL <br />BWELLIHG STATE SURCHARGE <br />DWELLING PLAN REVIEW <br />~WEt,,LING ZONING SURCHARGE <br /> <br />TOTAL ASSESSE~ FEES <br />P'REVIOUS'RECEIF'TS <br />TH~S RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY ANO(JNT <br /> ~527. P! <br /> $i92.50 <br /> $47~96 <br /> $150.~2 <br /> $45.98 <br /> $185.00 <br /> $15.00 <br /> <br /> PAYEE: 8HI'TI% ALAN <br /> Rt~CEZVED BY: PB <br /> <br /> ~ THIS IS NOT A PERHIT.', <br />FOLLO~IN~ MUST BE <br /> LL NECESSARY INFORMATION HAS <br /> PLAN RIWZEW: _BY~,,./z2~ <br /> <br /> c'['~Y JURIS~ICfZON: BY.,: ........... ~ATE ............. <br /> RE.N~RKS: DF/SS ~ , <br /> <br />$1,164,, &2 <br />$1. <br /> <br />'//T 57824 <br /> YPE: CK (:;HE:CK ¢: 674 <br /> <br /> REVIEW PROCESS WHERE THE <br />[BILITY OF THE APPLICANT TO ASSURE THAT <br /> <br />'::HEIGHT:,, <br />TOTAL SQ FT: <br />' STORIES: <br />PLAH. ACTION: <br />ENERGY PATH: <br /> <br /> SETBACKS:: FR~-~ <br />3281 LB "¢ 6'- <br /> R S'" 7 '6 <br /> <br />~ORM # MC 15.56 REV, 4/90 OFFICE COPY <br /> <br /> <br />