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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLOG. NQ. 225 <br /> '" ~ 220 HIGH STREET NE <br /> SALEM,, ORE,.GON 97301 <br /> <br /> PHONE 598-5147 <br /> <br /> I am performin9 work on a property I OWn or occupy. AP~LiC~~ <br /> I am a registered builderOR{ )theauthorizedrepres~ntative <br /> of 8 registered builder. <br /> <br />0ATE: 10/81/8~ ~ME; <br />OWNER'. NATSON, ERN~E ; RESI DEN TLAL <br /> <br /> 5~ R3 <br /> 9914 MIlL CREEK RD SE I ~CONTRAOT <br /> AU~SV~LLE OR 97325 CITY: I: ~GB: ,OG~PANT LOAD: <br /> <br /> NARZON COUNTY NO , <br /> SINGLE EAMIL~ ~ELLINGS <br /> <br /> ~ONE: 749~2303 SITE NU~ER: 2696 <br /> VALUAT I~: $4,680,00 <br /> <br />LOT: l 9LtCK: S~CTION: { TOWNSHIP: RANGE: J ZONE, ~MAP~ <br /> 31 ; 8S ~ 1W ,, EFU 48 <br /> <br />TYPE: BUILDING PERNIT OR APPLICATION NO: 9004728 <br /> <br />CONTRACTOR, NO. <br />WATSON, ERNIE <br />SAME <br /> <br />ARCHITECT/ENGINEER, NO, <br /> <br />¢HONE: 749-2303 ¢*HONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET SURCHARGE -ZONE 3 <br />8UILBING STATE :~URCHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE: WATSON, ~RN!E <br />RECBIVEO 9Y: pb <br /> <br />QUANTITY <br /> <br />$50.50 <br />$32_83 <br />$3,84 <br /> <br /> TOT~LASSESSEDPSES <br /> PRE~IOWS:RECEI;PTS <br /> !THIS:RECEIPT $92,23 <br /> <br />: BA~CE,::DUE ' $0_ 00 <br /> ~' 528? <br /> T~E; CK' CHECK ~; ]874 <br /> <br />;~ THIS IS NOT A PERMIT. THIS :APPW~OA¥ION~;~S~:'~0',r:%H~UGHA REVIEW PROCESS WHERE THE <br />FOLLONING MUST 8E COMPL~q-ED. IT ZS THE RESPONSIBiGI%~OF THE APPgICANT TO AoSURE THAT <br />~LAN REVIEW:~T~ ......... A?E_ <br /> :;:CITY:JURISDICTION; BY ......... 0ATE <br />SEPTIC; BY DATE <br /> <br />RENAR~: ADDING UTILITY ROOM R~3664 · <br /> <br />HEIGHT: TOTAL SQ FT: 158 STORIES; 1 PLAN.ACTiOn: <br /> <br />,o~ ~ ~c ~.s~ ~;v e/~7 OFFICE COPY <br /> <br /> <br />