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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 />I am performing work on a proporty i own or o¢cu,p,y. <br />lamareg{steredbuilderOR( )theautllodzedrupresentative <br />of a registered builder, <br />The work will be performed by a registered buEder. <br />Olher. <br /> <br />I havo read and agree to the terms stated on the reverse side of <br /> <br />bATE: 11130/92 <br />GREEN, JOE <br /> <br /> 11646 FALCON CT <br />AURORA <br /> <br />PLAN REVIEW ONLY <br /> <br />MAILING ADDRESS: <br /> <br />TAX LOT'. <br /> <br /> NE <br />OR 97002 <br /> <br />PO BOX 759 <br />PORTLAND, OR 97207 <br />PHONE: 68.5~'968,5 <br /> <br />SIGNATURE OF APPLICANT: <br /> <br /> DATE;, <br /> <br /> RESIOENTtAL, <br /> <br /> 5-N <br /> ¢o~fR~f ¢ifY: gmm: OCCUPANT LOAD: <br /> AURORA <br /> <br />CENTURY MEADOWS <br /> <br /> SITE NUMBER: 92-04139 <br /> VALUATION: <br /> <br />NO OF BEOf~OOMS: <br /> <br />$0.00 <br /> <br />39 19 33 3S 1W RA 1 <br /> NO NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. 73977 <br /> LAMAIN CONSTRUCTION <br />206 SE 4TR <br />TROUTDALE, 97060-0000 <br />PRONE: 760-'7736 <br /> <br /> ITEM <br />FOOTiNG/FOUNOATiON ONLY <br />BUILOINB STATE SURORARGE <br />ADOITIONAL SURCHARGES <br /> <br /> 90441~9 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSE0 FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY AMOUNT <br /> $25.00 <br /> $0.50 <br /> $0.Z5 <br /> <br />$26.2.5 <br /> $0.00 <br />$26.23 <br /> <br />$0.00 <br /> <br /> PAYEE: LAMAIN CONSTRUCTION 46223 <br /> RECEIVED BY: PM ................................... TYPE: OK ORECK ~: 1218 <br /> <br />* THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING MUST GE COMPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />PLAN ~EVIEW: ~V %~ DATE <br />ZONING: BY ~Z ........ <br /> <br />CITY JURISDICTION: BY ......... DATE <br /> <br />REMARKS: FOUNOATION FOR MH ON FILL <br /> <br /> FR <br />HEIGHT: 10 SETBACKS: ~],;__ <br />TOTAL SQ FT: 200 <br />STORIES: Ro_._~._.. <br />PLAN.ACTION: <br />ENERGY PATH: SFL .......... <br /> <br />.o.~ ~ ~¢c ~-~nsv, .~o OFFICE COPY <br /> <br /> <br />