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MARION COUNTY <br /> BUILDING INSPECTION <br />Se~/ator Building · 220 High Street N~ · Second Floor ·Salcm, Orcgo~l 97501-3670 <br /> <br /> Oil':cc flours: 8:00 - 4:30 Phone: 588-5147 Code-A-Phone: 4:30 p.m. - <br /> <br />DATE: 0'7/28/88 <br /> LANE, JACK <br /> <br />TIME: 2:35:49p <br /> <br /> 6104 SHAW LANE SE <br />AUMSVILLE OR 97325 <br /> <br />MARION COUNTY <br /> <br />5N <br /> <br /> NO <br /> <br />RESIDENTIAL <br />R3 <br /> <br />PHONE: 749-2941 <br /> <br />SITE NUMBER: 5027 <br />VALUATION: <br /> <br />$0.00 <br /> <br />748 <br /> <br /> 24 8S 2W AR3 <br />130900. SF NO NO <br /> <br />51 <br /> <br />TYPE: BUILDING PEPC4IT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 38238 <br />SANTIAM VALLEY HOMES <br />11373 MILLCREEK RD SE <br />AUMSVILLE OR 97325 <br />PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />FLEET SURCHARGE -ZONE 3 <br />BUILDING STATE SURCHARGE <br /> <br />PAYEE: SANTIAIvl VALLEY HOMES <br /> <br /> 9010058 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />ANOUNT <br /> $10.o0 <br /> 33.84 <br /> 0.5o <br /> <br />$14.34 <br /> $0.0o <br />$14.34 <br /> <br />BALANCE DUE $0.00 <br /> <br />10744 <br /> <br />RECEIVED BY: O~4 TYPE: CK CBECK ;~: 8924 <br />* THIS IS NOT A PE~IT. ~IS APPLICATI~ ~S'T ~ THROUGH A REVIEW PROCESS ~ERE THE <br />FOLL~ING ~ST BE COMPLETED. IT IS THE R~PONSIBILtTY OF THE APPLICANT TO ~RE THAT <br />ALL NECE~RY INFO~ATI~ HAS BE~ P~VIDED. <br /> <br />PLAN REVIEW: 8Y <br /> <br />DATE <br /> <br />SEPTIC: BY DATE <br />ZONING: BY ¢._%'~'-.~-DATE ........ -~."% SETBACKS: <br /> <br />HEIGHT~ ....... TOTAL ~ ~T~ 0 <br /> <br /> CITY JURISDICTION: BY ......... DATE <br /> <br />FR-_~__ LB-__~_ RS-____ RR-____ <br /> <br />STORIES: 1 PLAN.ACTION= <br /> <br /> <br />