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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 property I own 0¢ OCOupY. <br />lama registered builderOR( ) the authorized representative <br />of a registered builder, <br />The work will be ¢edormed by a registered builder. <br />Other <br /> <br /> DA'f~:,,, 10t07/?S TIME: 11,,0,~.,,48 <br />ow,~: SANTIAM HOMES <br /> <br />DATE: <br /> <br />LOT: <br /> <br />c~J~ENTIAL <br /> <br />SITUS ADDRESS: <br /> <br /> 2:I,B BEI.LEVUE <br /> AUH,,~¥ 1. L[..E OR <br /> <br />uSE OF BuILDI~,~,SiDEi4'¥,,.i,.AL ACCL:.SSORY STRUCTURES NO, OF DED~OOUS <br />!MAHJNG ADDRESS; ~bB'Oi~¥~,Li '['~,. CREEk~ ESTATES <br /> ASEHT: CRAIG I._UCAS -- SANTIAH HOHES <br /> <br /> PHONE: VALUATION: $S~ 08~,. 08 <br /> <br />; LOT; <br /> 78 <br /> <br /> Bt_c~dk; ~CTION: ] CdWN~Hi~i ....... ~¢;~-~i ', >'~)N~: MAP: <br />!wio'rh: 55 DEPTH; 84 AREA'. 4628. i UNIT~F IR~.~. LOT'. <br /> <br />TYPE: BUILDING PERHIT OR APPLICATION NO~ <br /> <br />CONTRACTOR~ NO. 422§6 <br />Del McCormick <br />518 Valleywood Dr SE <br />Salem~ 97S06-.B000 <br />PFIONE: S63-1711 <br /> <br />ARCHITECT/ENGINEER~ NO,, <br />PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $98.50 <br /> <br />TOTALASSESSED FEES <br />PREVIOUS RECEIPTS <br />TNIS RECEIPT <br /> <br />$65.46 <br /> $0.00 <br /> <br /> ~ ~ ~nL~NCE DUE $0.00 <br /> <br /> PAYEE:~Del McCormick . 529~5 <br /> RECEIVED BY: DM2 . ~._:2~.=:___ TYPE: IN ?ECK ~: 0 <br />* THIS IS NOT A PERHIT. THIsAPPLICATIONHUSTGO~HROUGH A REVIE~ PROCESS ~HERE THE <br />FOLLOWING HUST ~E COHPLETED. ITIS THE RESPOHSIB~LITY:OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY INFORNATZONH~S 8EENPROVIDED. <br /> <br />PLAN REVIEW: BY .~._~E. <br />ZONING: BY ............ DATE .......... <br />SEPTIC: BY ................. DATE <br /> <br />HEIGHT: 10 SETBACKS: FR 11 <br />TOTAL SQFT: 300 LS-10 <br />STORIES: 1 R~ <br />PLAN. ACTION: <br />ENERGY PATH: <br /> <br /> <br />