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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, Q25 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> of a registered builder, <br /> The work will be performed by a registered builder. <br /> Other ,, <br /> I have read and agree to the terms ~tatod on the reverse side <br /> this document. <br /> <br /> DATE: 07'/09/92 <br />OWNER: <br /> HILLIGOSS <br /> <br />PHONE: 588-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 ~,/]___ '"'¢ '_.-¢/%/~- ' <br /> <br />TIME: 16:16:44 .... <br /> TAX LOT: CATEGORY: <br /> RESIDENTIAL <br /> ;CONSTRUCTION TYP~; OCCUPANCY; <br /> <br /> 11661 STEINKAMP RD SE 'OONTRACTOITY: UGB~ OCOUPAN~LOAB: <br /> AUMSViLLE OR 9752S 'HARION COUNTY: NO <br /> <br /> SINGLE FAMILY DWELLINGS 5 <br />MAiLiN~ AOORESS: <br /> DITTER HILL <br /> <br /> SITE NUMBER: 92-02555 <br /> PHONE: VALUATION: $140,000.00 <br /> <br /> 1~ 28 8S ,iW 48 <br /> : 5.02 AC NO NO <br /> <br />TYPE: D~ELLING PERMIT OR APPLICATION NO: 9041164 DP <br /> <br />CONTRACT~R~ NO. 05061 <br /> HilligoCs Homes Inc <br />PO Box 20125 <br />Keizer 97507-0952 <br />PflONE: 390-1190 <br /> <br />ARCHITECT/ENGINEER, NO. <br />PHONE: <br /> <br /> ITEM <br />DWELLING BUILDING FEE <br />DWELLING PLUMBING <br />DWELLING MECHANICAL <br />OWELLING ELECTRICAL <br />OWELLING STATE SURCHARGE <br />OWELLING PLAN REVIEW <br />DWELLING ZONING SURCHARGE <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br /> BALANCE DUE <br />PAYEE: HILLIGOSS <br />RECEIVED BY: CL .................................. <br /> <br />TYPE: CK <br /> <br />AMOUNT <br /> $557.B4 <br /> $205.41 <br /> $5o~68 <br /> $158.84 <br /> $48.54 <br /> $185.00 <br /> $15.00 <br /> <br />$i,219.51 <br /> $0.00 <br />$1,219_31 <br /> <br /> $0.00 <br />45205 <br />CWECK ~: 6481 <br /> <br /> * THIS IS NOT A PERMIT. THiS APPLICATION MUST GO THROUGH A REVIEW PP, OCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> <br />LL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY <br />ZONING: 8Y..._~ <br />SEPTIC: BY ............... OATE <br /> <br />CITY JURISDICTION: BY DATE <br />REBARKS: DWELLING, OWR~-POEES DW ........... <br /> <br />HEIGHT: 26 SETBACKS: FR <br />TOTAL SQ Fl': 5467 L,S <br />STORIES: 2 RS <br />PLAN.ACTiON: <br />ENERGY PATH: ~ SP .......... <br /> <br />OFFICE COPY <br /> <br /> <br />