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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 ¢erformi, rJg work orl a )roper'fy I own or occu?,y, <br />I ail/ 8 registured builder OR ( ) the authorized rupreaentst ye SIGNATURE OF' APPLICANT; <br />Of 8 regielered builder, <br /> <br /> DATE: 10/87/9~ TI~E: 11:20:~2 <br />eWSER: SAHTIAM NOMES <br /> <br /> 215 BELLEYUE DR <br /> AU~S¥ILLE OE ~7~25 <br /> <br /> ; CO~I~TRUCYION T~P~: <br /> <br />83~ <br /> <br />Us~ o¢ SU,LO,~Sii)ENTIAL ACCESSORY STRUCTURES <br /> <br />ADDRESS: SUBDIVISION[ <br /> MILL CREEK ESTATES <br /> AGENT: CRAIG LUCAO-SANTIAM HOMES ' <br /> <br />PHONE: 769-7744 <br /> <br />SITE HUflDER= 9S-8~4~ <br />VALUATION: $3~000.80 <br /> <br />TYPE= DUILDIH6 PERHIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ NO. 42256 <br />Del HcCorMtck <br />518 Valleywood Dr SE <br />SaIe~ 77~B6-0000 <br />PHONE: 363-I711 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br /> ~0512 <br />ARCHITECT/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $38u50 <br /> $25.0~ <br /> <br />$65u46 <br /> $0.00 <br /> <br /> THIS RECEIPT $65.46 <br />  ALANCE DUE $0.00 <br /> <br /> 52907 <br /> PAYEE. Del ~cCormick ~'"~ ' <br /> <br />* THIS IS NOT A PERHIT. TH~S APPLICATIOH HUST 60 THROUGH A REVIEW PROCES~ WHERE THE <br />FOLLOWZN6 HUST BE CDNPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSU~E THAT <br /> LL HECESSARY INFORHATION HAS BEEN PROVIDED. <br /> <br />PLAN R~¥IEW: BY ~ ~TE L~._~, <br />ZONING. ~Y ....... DATE ......... <br /> <br />CITY JURISDICTION: BY ~ATE <br />REMARKS: CARPORT <br /> <br />HEIGHT: ].~ SETBACKS: FR il <br />TOTAL' SQ FT: 3~0 LS-10 <br />STORIES: 1 RS-lO <br />PLAN.ACTION: AR-lO <br />ENEEGY PATH: SP~ ...... <br /> <br />OFFICE COPY <br /> <br /> <br />