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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 />PARKER, SHERRI <br /> <br />REBICENTZAL <br /> <br />! ~swNER~ ..... ,, fAX' t~¥: ...... ~ CATEGORY; <br /> ...... 5':N ! R'-3 <br />:SrTUS ADDRESS: 5775 SHAW HWY SE CONSTRUCTION TYPE; i OCBUCANCY'. <br /> AUMSVILLE OR 97525 HARION COUNTY NO <br />; , <br /> <br /> S~NGLE FAHZLY DM~LL[N~ ;. . 4 <br />  B~bnooMS: <br />use o, ~om~o~ ~ <br /> <br /> ~ ; SITE NUHBER: 92-050i6 <br /> PHONE: ~64-06~6 : V~LU~%:OH-: $~0~000. <br /> <br />LOT: <br /> <br />WIDTH: <br /> <br /> 4.95 AC i YES i NO <br />TYPE: 8UZLD[N6 PER~[T OR ~PPLZCATZOH HO: ~9042056 / ~ <br /> <br />CO~TRACTOR, NO. <br />PARKER, SHERRI <br />SAME <br /> <br />PHONE: 364-0626 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEN <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br /> QUANTITY <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />AMOUNT' <br /> $140.50 <br /> <br /> $7.05 <br /> $7.05 <br /> <br />$245.89 <br /> $0.00 <br />$245.89 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: PARKER, <br />RECEIVED BY <br /> <br /> 44].00 <br />TYPE: CK CHECK i¢: 932 <br /> <br />~ THIS IS NOT A PERNIT. THIS APPLICATION HUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING HUS'T BE COHPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORHATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY ~ CATE I <br />ZONING: BY ~ ........ <br /> <br />C~TY 3UR~SD~CTZON: BY ......... D~TE <br /> <br />REHARKS: F~H~LY R~ <br /> <br />HEIGHT: 12 SETBACKS: FR'~ <br />TOTAL SQFT: 400 <br />STORIES: 1 RS <br />PLAN,ACTION: RR-'~'~ <br /> <br />OFFICECOPY <br /> <br /> <br />