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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> S88-S147 8:00- 4:30 <br /> PHONE: <br /> <br />The work will be performed by a registered builder. <br /> ...... ,' <br /> <br />' SlTU~ ASCR~SS~~'~E E~ <br /> <br />TA× LOT; (;ATEGORY: <br /> <br />RESiOEN'T'i~L <br /> <br /> 11684. LARK COURT <br /> AU~0R,'~ <br />U~E O~ BUfLDINO: <br /> <br /> O0N~I~AOT CITY: <br /> <br />OR 9?002 <br /> ~ARiON COUN ~'Y NO <br /> <br />MAILING Al)CRESS: RESi[)~N'f'iAL ACCE~ORY STRUCTURES. 8UBDIVlSldN: <br /> <br /> CEN"f'URY MEADOWS NO 4 <br /> 20 WALKING WOOD DR <br /> LAKE ~WEGO, OR <br /> PHONE.' 636-'/9~8 SiTE NUMBER: 92-01584 <br />LOT; , BLOCK: ; SECTION: TOWNSHIP: ~ae~ALUA~f' l ON; Zo~i $2,4 O0- ~p: <br /> <br />'f'YPg: BUILDING PERIVllT OR APPLiCATiON NO: <br /> <br />CONTRACTOR, NO_ <br /> LA~AJN CON~'T'RUC'rlON <br />208 SE 41'H <br />'fROU'f'DALE, <br />PHONE: 760~-7736 <br /> <br /> I'I'EN <br />BUiLDiNG FEE <br />PLAN REVIEW <br />SUILDING STATE SURCHARGE <br />ZONZNG SURCHARGE <br /> <br />PAYEE: GREEN, JOE' <br /> <br /> 903954~ <br />ARCHi]'EC'T'/ENGINEER, NO. <br /> <br />PHONE; <br /> <br />TOTAL A~ESSED FEES <br />PREVIOUS REC~IP'f'S <br />'f'HI~ RBCEtP'1' <br /> <br />QUANTITY <br /> <br />A~OUNI' <br /> $38.5O <br /> $25.03 <br /> <br />$67.39 <br /> $o.oo <br /> <br />BALANCE CUE <br /> <br />4159'1 <br /> <br /> RECEIVE0 BY; CL TYPE: CK CHECK ~; 4]586 <br /> <br />*'[HiS iS NO'[ A PERiVIiT. THiS APPL~CA'FZON MUST GO THROUGH A REVIEW PROCE~ WH~RE 'fHE <br />FOLLOWING ~US'l' BE COMPLETED. iT iS THE RE~PONSIBiLI'f'Y OF T'BE APPLICANf f'O A~URE THAI' <br />ALL. NECE~ARY iNFORIV'C.'f'iON HAG BEF..~ <br /> <br />PLAN REVIEW: BY DATE <br /> CITY JLIRiSO~C'¥'ION: 8Y DA~'E <br />SEP'flC: BY CATE ~NERGY PATH= <br /> <br />RE~ARKS: CARF-'ORT <br />HEIBHI': '!0 'TOTAL ~ P'7': 240 STORIES: PLAN.A~'f'iON: <br /> <br />OFFICE COPY <br /> <br /> <br />