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' ~~~i~NsSPECTION <br /> 220 HIGH STREF_T 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 ara performing work on 8 propecty I own or occupy. <br />I am a registered builder OR ( ) the authorized ropresentative <br /> <br />~4ILt. CREEK ESTATES (MN PARK) , RESIDENTIAL <br /> <br /> ~9 A~PEN ~R ~P$65 SE ~ ; OONT~A~T CI~Y; ~ UGh'. j OOOUPANT LOAD'. <br /> AUHSVILLE OR ~7~25 , AUHSVZLLE <br /> <br /> RESISENT];AL ACCESSORY STBUCTURES <br /> <br /> 9725 H~LL CREEK R~ SE <br /> ~UMSVILLE, OR 97~25 SITE HUHBER: <br /> F HONE: ~&3-.6~O& VALUATZON~ <br /> <br /> SS 78:: 42~e. :. ~ NO '. NO <br /> <br />TYPE: BUZLgING PERHIT OR APPLICATIOH NO= <br /> <br />CONTRACTOR~ NO. 422§6 <br />Del McCormick <br />518 Valleywood Dr SE <br />Sale{% 97306-0000 <br />PHONE: 363-1711 <br /> <br /> ~58602 <br />ARCNiTECT/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br /> ITEM QUANTITY AMOUNT <br />BUILDING FEE $38.50 <br />PLAN REVIEW $25.03 <br />BUILDING STATE SURCHARGE $1.93 <br /> <br />TOTAL ASSESSE~ FEES <br />PREVIOUS RECEIPTS <br />THZS RECEIPT <br /> <br /> $0.00 <br />$65.46 <br /> <br />BALANCE DUE $0.00 <br /> <br />PAYEE: Del McCorMick 53000 <br /> <br /> RECEIVED BY: PM ................................... TYPE: IN 6HECK $: 0 <br /> <br />% THIS IS NOT A PERHIT. THIS APPLICATION ~UST GO THROUGH ~ REVIEW PROCESS WHERE THE <br />FOLLOWING MUST BE 60~PLETE~. ~T IS ,THE RESPOHO~iLITY OF THE APPLICANT TO ASSURE THAT <br /> <br />LL HECES-~ARY INFORHATIO~ NAS BEEN PROVIgED. <br /> <br /> ZONING. BY /7 ...... DATE"'-'T,---~%~ <br /> <br /> CITY JURIS~IOTION: BY ........ BATE ......... <br /> REMARKS: CARPORT,~ SP ~5 <br /> <br />HEIGHT: SETBACKS: FR 11 <br />TOTAL SQFT: ~00 LS-10 <br />STORIES: 1 RS-lC <br />PLAN. ACTION: RR-10 <br />ENERGY PATH: SP~ ........... <br /> <br />OFFICE COPY <br /> <br /> <br />