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MARION COUNTY BUILDING INSPECTION <br />SENATOFJ BLDG. NO, 225 <br />'220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 RM,. 8:00 A,M. <br /> <br />I am performing work on a property I DNA Or occupy. <br /> <br />°B)kEPE = o3/o6/9o TIME= <br />SITUS^ODRE~INSON, RANDY & SUSAN <br /> <br />CONSTRUCTION TYPE: <br /> <br />CATEGORY: <br /> <br />OCCUPANCY: RESIDENTIAL <br /> <br /> CONTRACT CITY: 5~N uGB: <br /> 20822 OLMSTEAD RD NE <br />U~0~f~N~: OR 9?002 <br /> MARION COUNTY NO <br /> <br />RESIDENTIAL ACCESSORY STRUCTURES <br /> <br /> SAIVlE <br /> <br /> PHONE: 678-5898 <br />LOT: 8LOOK: SECTION: TOWNSHIP: <br /> <br />SITE NUMBER: 9577 <br /> pA¥~<LUATION; ZONE: $3,321.00~AP: <br /> <br />WIDTH: DEPTH: <br /> <br />AREA: '~ 8 UNITS: ~'S <br /> <br />~O I I iNO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: 9022280 <br /> <br />CONTRACTOR, NO. <br />ROBINSON, RANDY & SUSAN ~ <br />SAME <br /> <br />PHONE: 6?8-5898 <br /> <br /> ARCHITECT/ENGINEER, NO. MACCOLLIN <br />.... NACCOLLIN, E~D <br /> PO BOX 2248 <br /> SALEM OR 9?308 <br /> PHONE: 399-0358 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE --ZONE 6 <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />QLJANT I TY <br /> <br />TOTAL,ASSESSED FEES <br />PREVI(7,J~,,'RECEIPTS <br />'THIS :RECEIPT: <br /> <br />AMOUNT <br /> $44,50 <br /> $28.93 <br /> $7.68 <br /> $2.23 <br /> $2_23 <br /> <br />$85.57 <br /> $o.oo <br />$85.5? <br /> <br /> BALANCE'BUR $0.00 <br /> PAYEE: ROBINSOn, ~Y & SLLSAN, 23827 <br /> RECEIVED BY: PR _~f_~_~ , TYPE: OK CHECK ~: 1099 <br />~ THIS IS NOT A PERMIT. THIS ~PLI'CATI:ON, r4GST GE),: THROLJGH ~ REVIEt4 PRGCEENS WHERE THE <br />FOLLOWING ~UST BE COMPLETED. IT",,[S THE 'RESPONSIBILITY OF' THE APPLICANT TO ASSURE THAT <br />ALL NECE&SARY INFORMATION HAS BEEN ~ROVIOED.' ' <br /> <br /> CItY JURISDICTION: BY DATE <br /> <br /> SEPTIC: 8Y DATE <br /> <br /> ZONING: BY....~ ............... DATE,,..~[~...... SETBACKS= FR.,..~ ..... LS.._....~..Q .... RS,.~ ........ RR.....~ .... SP ....... <br /> RFJ4ARKS; CARPORT & ROOF OVER WALK WAY R~6501 <br /> HEIGHT: TOTAL S~ FT: ?38 STORIES= PLAN.ACTION: <br /> <br />rOnN ,/ MC ~-~e ~Ev ,/~ OFFICE COPY <br /> <br /> <br />