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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 />I am a registered builder OR ( ) the authorized representative <br />of 8 registered builder, <br /> <br />Other <br /> <br /> DATE: 0:1,/I:L/95 TIME: 12:28:20 <br />(3W~-"~ I fA~'LOT: i CATEGORY: <br /> STANTOI% JESS & HELEN r <br /> i kEolDENTIAL <br /> <br /> . ,. ..... fl--N <br /> :1, <br /> <br /> RE:SIDE:NTI~L ~CCEBSORY STRUCTURES <br /> <br /> · <br /> F'0 Box <br /> <br /> PHONE.~ 854-',~4~2 <br /> <br />TYPE: ~UILDIHG <br /> <br />C;oFFrRACTOR~ NO,, <br />Larry V JohnsoY~ <br />P0 Box 532 <br />J~e b"oi ',% <br />PHONE~ 8~J4--~153 <br /> <br />PERMIT OR APPLICATION NO.- 9868781 <br /> <br />78247 ARCHI TECT/EI,~G ~ NEE_F~ ~ NO. <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEN <br />BiJIt. DING $'rATE SURCHAR61 <br /> <br />PAYEE: Larry V Johrlson <br />RECEIVED BY:~ Pti <br /> <br />~ THIS IS NOT A PERHIT.i, <br />FOLLOWIH~ HUST BE CONPLETED~!;;)ii <br /> LL HECESSARY INFORMATI, <br /> <br /> QLJAIITI'TY AMOUNT <br /> $38.50 <br /> $25,03 <br /> $I.93 <br /> <br /> $65.46 <br /> $65.46 <br /> $0.08 <br /> <br />:iTYPE: IN CHECK ~: 0 <br /> REVIEW PROCESS WHERE THE <br /> APPLICANT TO ASSURE THAT <br /> <br />PLAN REVIE[,J: BY , :, <br />ZON:[NG:; BY <br />e, - . F'T ." <br />,.EPTIC. 9Y <br /> <br /> '" r . ENERGY P~TO: <br />I:;:~TY JU ~[,,:,;~)Ic ri. N. ~Y : ,PLAN.ACTIOn=: <br />fd.HAF ~,;~ [;AF~F'EIRT <br /> <br />204 <br /> <br />SETBACKS: FR 28 <br /> LS'"'5 <br /> ~:S , <br /> R R '-' :k L'"; <br /> <br />OFFICE COPY <br /> <br /> <br />