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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO, 225 <br />220 HIGH STREE'r 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 wItl be performed by :~ registered builder, <br />Other <br /> <br />GATE: 10/15/92 <br /> <br />WiNGERTER, DOROTHY <br /> <br />SIGNATURE OF APPLICANT:~ <br /> DATE'. ..... <br /> <br />TIME: 9:57:42 <br /> '¢~v LOT; <br /> 56514-000 <br /> <br /> 20NETRUCTION TYPE <br /> <br /> 11722 STEINKRNP RD SE <br />AUNSVILLE OR 97525 <br /> <br />~)c~ C~T~j NTY <br /> <br /> CATEGORY: <br /> RESIDENTIAL <br /> <br /> OCCUPANCY: <br /> <br />' 'OCCUPANT LOAD <br /> <br />OSE OF BUILDING' <br /> RESIDENTIAL ACCESSORY STRUCTURES <br /> <br />PHONE: 749-$362 <br /> <br />SITE NUHBER: 92-03625 <br />VALUATION: $9,875.00 <br /> <br />LOT: ,, CLOCK. ! ~ECTION TOWNSHIF <br /> 53 88 <br />WID3 H: 'DEPTH: : AREA 2 . 37 UNIT~;c~ <br /> <br />RANGE ' ZONE' MAP; <br /> <br /> ].N AR 48 <br />~RREG. LOT'. CORNER: <br />NO NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br />CONTRACTOR~ NO~ 37144 ~,.~ <br />ALTON O. THOMAS ~ ~.~' <br />40251 COLE VIEW OR <br />SCIO, 97374-0000 <br />PHONE: 769-7266 ' <br /> <br /> 9045157 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSEO FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT <br /> $80.50 <br /> $52-55 <br /> $4.03 <br /> $4.03 <br /> <br />$140~89 <br /> $0.00 <br />$140.B9 <br /> <br /> BALANCE DUE $0.00 <br /> PAYEE: AL THOMAS CONST. AccouNT ~ ~ : 45234 <br /> RECEIVED BY: DH2 ~ ::~r: ~ ~ . TYPE: CK CHECK ~: 1840 <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION HUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLONING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> <br />LL NECESSARY INFORH~T[xON HAS BEEN PROVIDED. <br /> <br />ZONING: B Y ~,,~,.Z_~% .... DATE <br />CITY JURISDICTION: BY ......... DATE <br /> <br />HEIGHT: 15 SETBACKS: FR~ <br />TOTAL SQ FT: 1064 LS'~'-~ <br />STORIES: 1 RS~'"'~ <br />PLAN.ACTION: <br />ENERGY PATH: SP ........ <br /> <br />REMARKS: HORSE BARN <br /> <br /> OFFICE COPY <br />FORM/f MC 15-56 REV, 4/~0 <br /> <br /> <br />