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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG NO.225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE 588-5147 <br />CODE-A-PHONE 4::30 P,,M - 8::00 A,,M, <br /> <br /> I have read and agree to the terms stated on the recerse side of <br /> this documodt <br /> <br /> DATEs 06/05/8? TIME: 2:19:10p <br />OWNER <br /> REID, ALAN <br /> <br />SITUS ADDRESS <br /> <br /> 210 CLIFFORD AVE <br /> 0ETROIT OR 97342 <br /> <br />SINGLE FAMILY DtNELLINGS <br /> <br />42O RElY ST <br />SHERWOOD, OREGON 97140 <br />PHONE: 625-5549 <br /> <br />LOT BLOCK SECTION TOWNSHIP <br /> <br /> 26 5 1 <br />Wg)TM 75 DEPTH 135 AREA 10125.-uN~TsO <br /> <br />SIGNATUNE OF APPLICANT <br /> DATE <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> 5-N <br />CONTRACT CITY UGB <br /> DT N <br /> <br />PATTON II <br /> <br />CATEGORY <br /> R <br /> <br />OCCUPANCY <br /> <br />OOOU PANT LOAD <br /> <br />NO OF BEDHOOMS <br /> <br /> 1 <br /> <br /> SITE NUI'¢~ ER: 1586 <br /> VALUATION: $14,400.00 <br /> <br /> RANGE ZONE MAP <br />10 5E 105 <br /> IRREG LOT CORNER <br />SF N N <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />REID. ALAN <br />420 ROY ST <br />SHERWOOD, OREGON 97140 <br />PHONE: 625-5549 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE <br />STATE SURCHARGE <br /> <br />PAYEE= REID, ALAN <br />RECEIVED BY: c3 <br /> <br /> 9002549 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />TOTAL AE~ES,SED FEES <br />PREVIOUS RECEIPTS <br />THIS R~CEIPT <br /> <br />AMOUNT <br /> $110.50 <br /> $71.83 <br /> ~8.96 <br /> 4.42 <br /> <br />$195,71 <br /> $o.oo <br />$195.71 <br /> <br />BALANCE DUE $0. O0 <br /> <br />INVOICE NO: 3054 <br />TYPE: IN CHECK ~; 0 <br /> <br />z THIS I$ NOT A PERNIT. THIS APPLTCATION NUST GO' TH,,,I~;~,,~,,6~ A REVIEW PROCE~.S ~HERE THE <br />FOLLOHING I~IUST BE CONPLETED. IT IS THE ~IBI[;ITY OF THE APPLIC~IT TO ~RE THAT <br />ALL NECE;SSARY INFOI~TION HAS REEN PR~NIDED. <br /> <br /> ~'""~-- '-- /S? , CITY JURISDTCTION; BY DATE <br /> <br /> PT C Y L .... <br />SE I : 8 ___~.___ BAIt`" 6,--/, _ <br />ZONING, OATE ssr ACKS, FR- LS- RS- RR-____ SP-____ <br /> <br />REMARKS: CABIN <br />HEIGHT; 15 TOTAL SO F?.* 5?6 STORIES= 2, PLANNING ACTION.- <br /> <br />FICE <br /> <br /> <br />