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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 /> ~:,A'f'F= ¢9t09193 T.T, tAE: 14:tS,,f51 <br /> OWNER'. ' - TAX LOT: <br /> <br />,, AI.LIES.~ ROSE N <br />, SI~US ADDRESS; CONSTRUCTION TYPE <br /> <br /> 150 N BUTTE ST ,._ 5UN1H~O~OITY <br /> DETRO]:T OR 97342 DETROIT <br />use OF BUILDiNg2. ' <br /> <br /> HANUFACTURE~ STRUCTURE <br />MAILING ADDRE~: SU BDIVI~ION <br /> <br />UG8 <br /> <br /> NO <br /> <br />RESIDENTIAL <br /> <br /> ...... HAMMOND .................... <br /> 4:l.'t? SCNAFER AV NE <br /> SA[_EN, OR 97~05 SITE NUNBER: ?;~-03189 <br /> PHONE." 39~-.58~5 VALUATION: ~4~88.88 <br /> <br />LOT: BLOOK: ' S~TiON-' ........ Y'EWN~ WI'~ ....... ~AN ~ ~'. ZONE' MAP: <br /> <br /> · 2/8 .... t5 ....... :' "-'z- ....................... &~ ............... ~.'~o~; ......... ~5'~;bh,. ..... [e5 <br />WIDTH' ~EP¥H' AREA; ' U NITS: <br /> <br /> 188 , ],~e 1~. SF NO .............. ~ NO ..... <br /> <br />TYPE: BU[LB~HG PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR~ biO,, <br />ALLIES., ROSE N <br />4119 SCHAFER AV NE <br />SAI,.EM~ OR ~27~05 <br />F'HONE: :'~93-58~8 <br /> <br /> 2TEN <br />BIJlL, D]:N[; FEE <br />PLAN REVIEW <br />BOILBIHG STATE SURCHARGE <br /> <br /> 9849788 <br />AROHITECT/ENGINEER~ NO. <br /> <br />PHONE: <br /> <br />:TOTAL ASSESSED FEES <br /> PREVIOUS RECEIPTS <br /> THIS:RECEIPT <br /> <br /> BALANCE DUE <br /> <br />QUANTITY <br /> <br />ANOUNT <br /> $44,50 <br /> <br /> $2-2¥ <br /> <br /> $0.00 <br /> $75,66 <br /> <br /> $0.00 <br /> <br /> I A~EE,, ALLIES. R0oE N 52155 <br /> RECE~VEB BY: PN TYPE: IN CHECK ~: 0 <br /> <br />FOLLOWIHG HUST BE COMPLETEO. tT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br />LL NECESSARY INFORMATION HAS BEEN PROVIDED. <br /> <br />PLANREVILW,," r ' SY,,.,..:~ ............ ~'ATE¢:c/~-'"..~_ HEI~.;HT: <br />ZON]'.NG,',' BY I)ATE~ ................ TOTAL S[~ FT: <br />~E'F'T:[C: BY ................ _~.'.;'J.~ii'.'.;;..'.;;'_;;~:-._..; f)A'?'E ...................... STORIES: <br /> .......................................... PLAN. ACTIOH: <br />CITY JURISI~'I'C'I'~[OI,h't BY ......... DATE .............. ENERGY PATH: <br />REMARKS: METAL COVERED SNOW ROOF OVER EXISTING MS <br /> <br />SETBACKS: FR 20 <br /> I_S-"5 <br /> RS'"5 <br /> RR"-;I, 5 <br /> SI:'-" <br /> <br />OFFICE COPY <br /> <br /> <br />