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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 /> :f~Af.,ALt,,ON~ OFF,L Ii~ i TAX LOY: <br /> , RESIgE'N'T I ~L. <br /> <br /> CONSTRUCTION ~YPE OCCUPANCY' <br /> :L4;I ChRNEL ~R ---- ~3 OONTRAOY CITY: UGB'. ~OOCUPANT LOAD'. <br /> <br /> RESIDEN'fIh[. ~CCESSORY STRUCTURES <br /> <br /> HILL CREEK <br /> <br /> ALBANY,~ OR ~75,,.1 SITE NU~ER: <br /> <br />LOT'. ~ BLOCK; [ 8~CTION: ~ YOWNSHIP'. I RANGE: ZONE'. ~ ~P <br /> 6;~ , 96, 6e4B, ~ NC N <br /> <br /> TYPE= BUILBXNG PER~IT OR APPLICATION NO: <br /> COt,!'rRACTOR~ HO. 9894~ ARCHITECT/ENGINEER~ NO. <br /> <br /> Capitol Awf~itlg <br />~!I8 Valleyeood" DY' SE; <br />SaIer% 97386 <br />PHONE:,' ~63-17:[1 <br /> <br /> ITEH <br />BU~L.~ING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PkEV:;OU8 RECEIPTS <br />TH:[~ RECEIPT <br /> <br />BALANCE DUE <br /> <br />QUANTITY AMOUNT <br /> $38,58 <br /> $25.03 <br /> $1.93 <br /> <br />$65.46 <br /> <br />$0.0~ <br /> <br /> I AYI:E,, ¢af~'l,'co.I Awnxttg <br /> RECEIVED X{Y: PM TYPE: IN ,E;HELK ~:597:1,1 <br /> <br />FOLLOWING H~ST 9E COHPLE~E~. IT':IS THE '~POHS~I~ITY OF THE APPLICANT TO ASSURE THAT <br /> LL ~ECESSARY INFORMATION ~AS'B~H PROVIDED. <br /> <br />ZONINI;: BY ....................... .u~,t,t~_F-'---'---------- <br />,~ .PTIC,, BY gATE ....................... <br /> <br />Ct fY JURIS~;.[CI';t:OH~ I~Y .................... OA'fE ........... <br />REMAkk, ,. CARPORT <br /> <br />HEIGNT: SETBAIJx~. FR t0 <br />TOTAL, S? FT: 000 LS" <br />STORIES. ~ 1 RS'-'~ ...... <br />PLAN,ACTION. RR'-'~.g <br />ENERGY PATh: ~P <br /> <br />O~:FICE COPY <br /> <br /> <br />