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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG, NO, 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97'301 <br /> <br /> PHONE: 588-5147 8:00 - 4:30 <br /> 24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />of a registered builder. <br />The work win be performed by a registered builder, <br />Other <br /> <br />°wHen:DATE: 04/01/94 TIN!{: 9~ 08: 5~ TAX LOT OATE~O~Y <br />.... ~.'~']:~L. <br /> <br /> 19887 CA~t,'; RD NE <br /> AURORA OR 978,02 <br />0SE OF BUILDING: <br /> <br />MARION COUNTY NO <br /> <br /> · ~?r~L~t E FAMILY I)ORf. I.INGS <br />MAILING ADCI~ .... <br /> <br />SUBDIVISION <br /> <br /> 20178 CASE RD lee <br /> AURORA, OR ,,?.70~2 <br /> PHONE: 6?0-5295 <br />LOT; BLOCK. <br /> <br />SITE NUHBER: 94-80627 <br />VALUATION: $15,300.00 <br /> RANGE; ZONE MAP <br /> <br />~ICTH' OEPTH: A ~R~r~: J N Ila~ I~G _OT OC~' <br /> 58..,' ' ~F YF'S Nfi. <br /> <br />TYPE: BUILDIH6 PERHIT OR APPLICATION <br /> <br />COI,]RACIOR~ NO. 62024 <br />Donald D No~mk <br />PO Bo>: 41:1, <br />Donald~ 97020.-0~00 <br />PHONE: 678.-J. 701 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BIJ]:L. BII,I6 STATE SURCHARGE <br /> <br />AI~CNII'ECT/ENCINE:ER. NC). <br /> <br />PHONE: <br /> <br />FOTAL. ASSESSE~ FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE DOE <br /> <br />QUAI~I'ITY <br /> <br />AMOUNT <br /> $11&.50 <br /> ~75.73 <br /> $5.,85 <br /> <br />$I~8.06 <br /> ~0.00 <br />$198.06 <br /> <br /> PAYEE: WILFRED WILMES 56376 <br /> RECEIVED BY: PM2 ....................................... TYRE: CE CHECK ~: <br /> <br />$ THIS I~ HOT A PERHIT. THIS AP~LICATIOMMUSTGO THROUGH!A REVIEW PROCESS ~NERE THE <br />FOLLOWIN6 MUST BE COMPLETED. :IT IS THE RESPOHSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL IiECESSARY IHFORHATIOH HAS~EEH PROVIDED. <br /> <br />Pt. AN REVIEW: BY DATE <br />ZONING: BY ................ DATE .................. <br />SEPTIC: DYi,::i:Zi::',i:Z"_':'.::'Zzz:'_'_-: ~ATE:"~'Z.-i-Zz"-]::::"_''''- <br />CITY JURIS:DZCTIOI. BY DATE <br /> <br />REi'iARKS~ PIREPLACE & CHIFINEY~ INl REM <br /> <br />HEIGI4T: SETBACKS: FR <br />TOTAE 80 FT: 0 LS~i]i] <br />STORIES: 2 RS <br />PLAN.ACTION: RR ................ <br />ENERGY F'ATH: SP ........... <br /> <br />PORM# MC 15-5~ REV, 4/~0 OFFICE COPY <br /> <br /> <br />