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MARION COUNTY BUILDING INSPECTION <br />SENATOR RLDG. NO. 225 <br />220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588-5147 B:O0 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />I am a resi~tered builder OR the authorized representetive <br />of e registered builder. <br />The work will be performed by a registered builder, <br />Other <br /> <br />SIGNATURE OF APPLICANT <br /> <br /> SANT[AH HOMES RESIDENTIAL <br /> j~ ~'~ ~,-~'--C~ ~5-N ..... I-~-~ [: .......... ~bU~N~ L6AD; ~'"' ~ <br />~'~Cb~'~'~SVILL. E~-"G~"~ ......... ~" 97325 ~ ..................................................... ~U~SVILLE NO ~ ~6."~ 'BE~oOUS <br /> <br /> RESIDENTIAL ACCESSORY STRUCTURES <br /> ........................... <br /> 11373 MILL CREEK R~ I _ <br /> AUMSVILLE, OR B7325 [ SITE NUHB~R: ~4 82817 <br /> <br /> 55 ~6 528~. NO NO <br /> <br />TYPE= BUILDING PERHIT OR APPLICATION <br /> <br />CONTRACTOR. NO. <br />5AN'rIAM HOMES <br />11~7~ MILL CREEK RD <br />AUMSVILLE~ OR 97325 <br />PHONE: 7&9=7744 <br /> <br /> ITEH <br />BUILDIN~ FEE <br />PLAN REVIEW <br />BUILDING STATE <br /> <br /> 9~55212 <br />ARCHZTECT/EN~INEER~ NO. <br /> <br /> PAYEE: SANTIAM HOMES <br /> RECEIVED BY: pm ......... <br /> <br /> ~ THIS IS NOT A <br />FOLLO~IN~ HUST BE <br /> LL HECESSARY <br /> <br />PHONE: <br /> <br />QUANTITY AMOUNT <br /> $~8.50 <br /> $25.0~ <br /> $1.93 <br /> <br /> 57680 <br />TYPE: IN CHECK ~: 0 <br /> <br /> REVIEW:PROCESS WHERE THE <br />THE APPLICANT TO ASSURE THAT <br /> <br />PI,.AN REVIEW~ BY <br />ZONINg: BY <br />SEPTIC: BY ........ <br /> <br />CIlY JURISDICTION: <br />RS, MARKS. CARPORT <br /> <br /> DATE--,' .......... STORIES: <br />BY <br /> <br />300 <br /> <br />SETBACKS: FR....10 <br /> LS <br /> RS'"~ .... <br /> RR 10 <br /> <br />PORM # MC 15.56 REV. ~/90 OFFICE COPY <br /> <br /> <br />