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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NC. 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 /~ , .y <br /> II ~mm 8 registered builde¢ OR{ ) lhe authorized representative SIGNA U= ~.-~~~ <br /> beg ogre ng work on 8 property I own o occupy. . T RE OF APPLICANT <br /> <br /> The work witl be performed by a registered builder, <br /> Other ,, <br /> I have reBd and agree to the terms stBted on t~e reverse s~de of DATE; /2-- <br /> this document. <br /> <br /> DATE: 12/02/~2 TINE: 15:22:46 :b~f~&b~: <br /> LAOOIE SNODDERLY 40514000 RESIOENTIAL <br /> <br /> H-1 <br /> 15255 OTTA~¢AY RD NE ' CONTRACT CITY; ,'U~: ;bC~UP~N~LOAO: <br /> AURORA OR 97002 HARION COUNTY; YES <br /> <br /> RESiDENTiaL ACCESSORY STRUCTURES <br /> <br /> [ AURORa, OR HOBILE-7~4m~8~O ~ ' - <br /> ~ONE: 2~6-70~ V*LUATION: $5,000.00 <br /> <br /> 6.02 AC NO NO <br /> <br />TYPE: BUILOING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />LADDIE SNOBDERLY <br />PO BOX 564 <br />AURORA, OR NOBILE-794"-lB9 <br />PHONE: 266~7059 <br /> <br /> ITEM <br />BUILOING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONIN6 SUROHARBE <br /> <br /> 9044218 <br />ARCHITECT/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $50.50 <br /> $32.83 <br /> $2_53 <br /> $2.53 <br /> <br />$88.39 <br /> $0.00 <br />$88.39 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: LADDIE SN~oJ~r~.,, 46545 <br /> RECEIVED BY: NB ,J/_~,=~._.~_.: ' ..... TYPE: OK CHECK' ~: 1404 <br /> <br />= THIS IS NOT A PERMIT. THIS APPLICATION MUST Go THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE CONPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: ~¢(~,~,,.~,,~,, ..... DATE (~--I~ '~'c~'~..--NEI6BT~ 15 <br />~ONING: BY_~,¢¢ .......... OATEZZ>]~__~_E~Z~ TOTAL oQ FT: <br />oEPTIC: BY ...... ~ ............... DATE .................... STORIES: 1 <br /> PLAN.ACTION: <br />CITY JURISOICTION: 8Y ........ DATE .......... ENERGY PATH: <br /> <br />864 <br /> <br />REMARKS: POLE BLOG <br /> <br />S ¢'~ .......... <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV. 4/90 <br /> <br /> <br />