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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 8 property I own or occuCy <br />I am a registered builder OR( )thoadd~orized representative <br />of a registered buildor. <br />The work will be performed by a r~sistered builder <br />Other ....... <br /> <br /> DATE: ie/ii/9~ TIME: 15:~2~47 <br /> <br />SIGNATURE OF APPLICAHT: <br /> <br />DATE: <br /> <br />CONSTRUCTION TYPE: <br />5-H <br />AUMSVILLE fib <br /> <br />CATEGORY: <br /> RESIDENTIAL <br /> <br />OCCUPANCY~ <br /> <br /> 218 BELLEVUE DR <br />AUMSVILLE OR ~7325 <br /> <br />RESIDENTIAL ACCESSORY STRUCTURES <br /> <br /> MILL CREEK ESTATES <br />AGENT: CRAIG LUCAS - SANTIAM HOMES <br />769-?744 SITE NUHDER: <br />PHONE: VALUATION: $3~000.08 <br /> <br /> LOT: ....................................................: BLOCK; SECTION; : TOWNSHIP; ¢ RANGE: i ~GN'~i MAP: <br /> <br />, WIDTH: :DEPTH: AREA: <br /> 55 . 84 4628. SF NO i HO <br /> <br />TYPE: BUILDING PERNIT 0R APPLICATION NO: <br /> <br />CONTRACTOR~ NO. 422~& <br />Del McCor.lzck <br />518 Valle~wood Dr SE <br />PHONE: ~6~-1711 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br />PAYee: <br /> <br /> 58518 <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />TOTAL ASSESSEDFEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DUE <br /> <br />AMOUNT <br /> <br />$&5.4~ <br /> <br /> $~.00 <br /> <br />$0.00 <br /> <br /> RECEIVED BY: PB ........................ ~_ ...... 22 TYPE: CHECK ~: 0 <br /> <br /> $ THIS IS A VALID PERHIT. THIS PERHZTEXPIRES188 DAYS FRON ITS ISSUE DATE. IF <br />CONSTRUCTION CEASES FOR APEEIODOF 188 DAYS, OR IF CONSTRUCTION FAILS TO NEET ALL <br /> EOUIRENENTS OF STATE LA#S AN~NARIONCOUHTY:~UILDING ANDZONING ORDINAHCES~ THiS PERMIT <br /> <br />ALL BECOME NULL AND VOID. <br /> <br />CARPORT <br /> <br />HEIGHT: 10 SETBACKS: FR 11 <br />TOTAL SQFT: <br />STORIES: 1 RS'-].0 <br />PLAN. ACTION: RR-10 <br />ENERGY PATH: SP"~ <br /> <br />ENERGY PATH: <br /> <br />REMARKS: <br /> <br />DONALD E. <br /> <br />WOODLEY, MARION COUNTY BUILDING OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15.56 REV. 4/~0 <br /> <br /> <br />