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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 />of a registered builder, <br />The work wilt be performed by a registered builder. <br />Other ................ <br /> <br />this document. <br /> <br />. DA;¥'E= 04/0?/92 <br /> OWNER: <br /> <br /> WEBER, JOE <br /> SITUS ADDRESS: <br /> <br /> 25O YEW C'f' <br /> AUMSVILLE OR 9'7325 <br /> <br />USE OF BUILDfNG: <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />CONTRACT CITY'. <br /> <br />.~UIV~V,[ LLE ........... <br /> <br />CATEGORY: <br /> RESi DENT' <br />OCCUPANCY; <br /> <br />OCCUPANT LOAD: <br /> <br /> R~IDEN'FI-AI,.; AOC~RY STRUCTURES suemvm o~= <br />MAILING ADDRESS: <br /> <br />EVERGREEN EB'T'A'f'E~ <br /> <br />PHONE: <br /> <br /> LOT. BLOCK SECTION TOWNSHIP: <br /> <br /> 29 25 <br />:WIDTH; DEPTH A~A UNITS <br /> 55 85 <br /> ..................... <br /> <br />TYPE: BUiLDiNG PER~VtlT OR APPLICATION NO: <br /> <br />CONI'RACTO~, NO. 38238 <br />g~nffel L Carven <br />11373 Mff"J'] Cheek Rd <br />Aumsvi"l'le, 97325-0000 <br />PHONE: ?69-7744 <br /> <br /> i'rF,~ <br />BUILDING FEE <br />PLAN RE¥1EW <br />BUiLDiNG STATE 5uRrCHARGE <br /> <br />PAYEE: CRAIG LUCAS <br />RECEIVED BY: F8 <br /> <br /> BITE NUf~$BER: 92-01394 <br /> VALUAT iON *. $3,120. gO <br /> <br /> 8S ~W .. Rr~ <br /> SF ¢E5 NO <br /> <br /> 9039221 <br /> <br />A~H il'EOT/ENGiNEER, NO. <br /> <br />TOTAL ASS~EO FEES <br />PRE¥iOUB RECEIPTS <br />THIS RECEIPT <br /> <br />(,)UANI'ITY <br /> <br />APIOUN'T <br /> $44.50 <br /> $28.93 <br /> $2.23 <br /> <br />$?5.66 <br /> ~0.OO <br />$~5.66 <br /> <br />BALANCE DUE $0.00 <br /> <br /> 4124,? <br />TYPE: IN CHECK ,~: 0 <br /> <br />~ l'Hi~ IS NOT A PERfqZ'f', 'THIS APPLiCATiON IViUSf ~ THROUGH A RE¥1EW PROC~ WHERE THE <br />FOLLONING fvLJ~'f' BE CC~PLETED. IT iS THE RESPONSIBILITY OF THE APPLICANT 're ASSURE THA'f <br />ALL NEC~ARY INFORf4A'f~ON BAS BEEN PROVIDED. <br /> <br />CITY JURISDICTION: BY DATE <br /> <br />SEP'f'ICt 8Y DATE <br /> <br />~ERGY PAI'H .~ <br /> <br />ZONING: BY OA'f'E SETBACKS; FR 10 LS 10 ~ 10 RR 10 SP <br />RErclARKS: CARPORT ...................................................................... <br /> <br />HEIGHT: 11 TO]'AL SQ Fl': 312 STORIES: 1 PLAN.ACTiON: <br /> <br />OFFICE COPY <br /> <br /> <br />