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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 />HOUR CODE-A-PHONE: ~88-7904 <br /> <br />Other___ <br /> <br /> DATE: 1J,/09/92 TINE: 9: 22: 2,-!. <br /> Hell,, L , JOHN <br /> <br /> ,]_0;~43 MILL CREEK RD SE <br /> AUNSVIL[_E OR 97.525 <br /> <br />USF OF BUILD~NG' <br /> RESIDENTIAL ACCESSORY STRtK",TtJRES <br /> <br />MAILING ADDRESS~ <br /> <br />TAX LOT: <br /> $638'7-003 <br />OONSTRLJCTION TYPE: <br /> <br />CONTRACT C~TY' JGB: <br />ANION COUNTY NO <br /> <br />5UBOIViSION: <br /> <br />CATEGORY: <br /> <br /> RESIDENTIAL <br />OCCUPANCY. <br /> <br />OCCUPANT LOAC <br /> <br /> SANE <br /> SITE NUMBER: <br /> PHONE: 7q 9"-1685 VAL_tJATION: <br /> <br />LO'I: BLOCK' SECT ON TOWNSH P; RANGE <br /> <br />WIDTH. DEPTH: ARFA. UNITS RREG. LOT <br /> [. RC ~ <br /> <br />92-0;585,,5. <br /> S:~.i68.00 <br /> <br /> 48 <br /> <br /> 4O <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: 904;~580 <br /> <br />CONTRACTOR, <br />,~AL[., .2rOHN <br /> <br />ARCHI'FECT/ENGINEER, NO. <br /> <br />PHONE: 749--1685 PHONE <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BL)IL, OING" INVE~'rIGATION/DOUBLE FEE <br />BUILDING STATE oURCHARGE <br />ZONING SURCHARGE <br /> <br />TOTAL ASSESSEB FEES <br />PREVIOUS RECEIPTS <br />TI-liS RECEIPT <br /> <br />QUANTITY AMOUNT <br /> $44_50 <br /> $28.95 <br /> $44,,5G <br /> $2,,25 <br /> $2_23 <br /> <br />$.L22.59 <br /> $0.00 <br />$122_39 <br /> <br />BALANCE DUE <br /> <br />PAYEE: HALL,, JOHN <br />RECEIVED BY: gL ............................................ <br /> <br /> 4584% <br />TYPE: CA CNECK ~': 0 <br /> <br />FORM # MC 15-56 REV, 4/~0 <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORMATION HAS BEEN PROVIOEO. <br /> <br /> PLAN ~EViEN:,rB~&~ATE J'Z¢'~'~ HEIGHT: SETBACKS: <br /> <br /> oEP'I'IC: BY ........................ DATE ....................... STORIES: 1 <br /> PLaN.ACTION: RR~_~. <br /> CITY ~URI$OICTIDN: 8Y ........ O~TE ......... ENERGY PATH: SP ......... <br /> <br /> REMARKS: G~R~GE ~/0 PERMIT, NO PLANS REBUiRED PER BERT. ZNSPEO'I'ION DONE ON SITE FOR <br /> S'/UCTRUAL <br /> <br />o .c coP Nc) <br /> <br /> <br />