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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 /> DATE: L2/09/94 TIME: 9:27:1,~ <br /> <br /> ~D~'~ CONSTRUCTION TYP~: ~ OCCUPANCY; <br /> ~493 W STAYTON RD <br /> <br />8F~u,~[}~ FANILY BWEL, LINGS ::¢0 6¢ eco~oo~s: <br /> <br /> PHONE: 749-1508 ~ SITE NUMBER~ 94-~4~11 <br /> VALUATIOH: $12~ <br /> <br /> TYPE: ~UIL~IHg PERNIT OR flPPLICATION HO: 59517 <br /> <br /> CONTRACTOR, N8. <br /> ~les ~emodelinO <br /> 151~ E San't~:m,~ S~ SE <br /> <br />Sbayton~ 97:~83-0000 <br />PHONE: 370-7609 <br /> <br /> I'rEM <br />BUILDING FEE <br />PLAN REYTEW <br />BUILDING - INVESTIGATION/ROUBLE FEE <br />BOILDIHG STATE SURCHARGE <br />'ZONIH6 SURCHARGE <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br /> $60.13 <br /> $92.50 <br /> $4.63 <br /> $4.63 <br /> <br />TOTAL ASSESSED FEE9 $254.39 <br />PREVIOUS RECEIPTS $161.89 <br />THIS ~ECEIF'T $0.00 <br /> <br /> PAYEE,~ <br /> RECEIVED BY: T.-'L TYPE: CHECK ~: 0 <br /> <br /> $ THIS IS NOT A PERMIT. lHIS APPLICA¥ION HUST 60. THROUGH A REVIEW PROCESS ~HE~E <br /> THE <br />FOLLOW,N6 HUST ~E COMPLETED. IT .~ THE RESPONSibiLITY OF THE APPLICANT TO ASSURE TH~ <br />LL NECESSARY INFORHATION HAS BEEN PROVIDE~. <br /> <br />PLAN REVIEW: BY DATE HEIGHT: SETBALkS. I,,"R 20 <br />ZGR].NI;: BY ................ DATE ............... TOTAL SD PT: 250 L.S"'20 <br /> PLAN.ACTION: RR"'2~ <br />C~l'Y JURISDICTION: 8Y ............... DATE ............ ENERGY PATH.- SPi~ ......... <br />REMARKS: PORCH AI~D1TIOH 12-~-~4 POS~EI)~ STARTED WORK W/O ISSUE~ PERMIT DOUBLE FEE <br /> ***BAI.. OUE$$$ <br /> <br />OFFICE COPY <br /> <br /> <br />