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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: 5@8-5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered ~uiJder, <br /> <br />Other. <br /> <br />I have rea¢ and agree to the terms stated on the reverse side of <br /> <br /> this document. <br /> DATE: I0/07/93 TIHE: <br />,OWNE~: SANTiAH'~HOMES ' <br /> <br /> SITUS ADDRE~S: <br /> <br /> 208 BELLEVUE DR <br /> AIJMSVILLE <br /> <br />,us,~ or .U,LO,~slDENTiA~ AC~-~R-~'"~-~I~:~i~E'~ ......................... <br /> <br /> MAILING A~)DRESS: <br /> <br />AGENT: <br /> <br /> 8: 00:53 <br /> ............... TAX LOT; c~T~FI~ENT i A L <br /> <br />OR ~7~25 ~E[ uR8 OCCUCAN'r ~OAO <br /> <br />CRAIG LUCAS <br /> <br />SU~D,~.~ CREEK ESTATES <br /> SiTE'HUHBER'~''~83472' <br /> <br />PHONE: 769-7744 VALUATION: $3~800.00 <br /> <br />TYPE= BUIL~iHS PERMIT OR APPLICATION <br /> <br />CONTRACTOR~ NO. 42256 <br />Del McCormick <br />518 Valleywood Dr SE <br />Salem, 77308-0~0 <br />PHONE: 36~-1711 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br /> ~5B487 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $38~50 <br /> $25.03 <br /> <br />$65.46 <br /> $0.00 <br />$~5.4~ <br /> <br /> ..... ,.,-- BALANCE DUE $0.00 , <br /> <br /> RECEZVE~ BY: DM2 _~ ....... TYPE. IN CHECK ~. 0 <br /> .................. :::::::::::::::::::::::::::::::: ........................................ <br /> 8 THIS IS NOT A PERHIT. THIS APPLICATION HUST ~ THROUGH A REVIE~ PROCESS ~HERE THE <br />FOLLO~[HG HUST DE COHPLETED, IT IS THE ~SPOHSIDILITY DF [HE RPPLIC~NT TO ASSURE THAT <br />LL HECESSARY 1NFORHATIOH HAS SEEN PROVIDED. <br /> <br />PLAN REVIEW: BY .,,~..~. DATE <br />ZONING: BY ....... DATE ........ "~'~- <br /> <br />CITY JURISDICTION: BY ........ DATE <br />REMARKS: CARPORT <br /> <br />HEIGHT: 10 SETBACKS: FR 11 <br />TOTAL SQFT: 300 LS-10 <br />STORIES: 1 RS-lO <br />PLAN. ACTION: RE-10 <br />ENERGY PATH: <br /> <br />FORM # MC '15-56 REV, <br /> <br />OFFICE COPY <br /> <br /> <br />