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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 /> [ ; RESZ~EN'rIAL <br /> PAUL GARC~A ................ ~ <br />'~iTb~ A~'~; { CONSTRUCTION TYPE; ~ OCCUPANCY: <br /> AUHSVI[_LE OR 77~25 ~ ~UH~VI[.LE NO ~, <br /> <br /> 11373 MILL CREEK RD <br /> AUHSVILLE. OR 97325 <br /> PHONE: 378-8147 <br /> <br />;UOT; .............. ]e k6~7 .............. ~ ........... <br />~--.~5 ................. ~ ........................... <br />w oT : ...... <br /> <br /> ~--, ,~I L,L- CREEK.ESTA~E~ ............. <br /> SITE NUNBERt. 74-~44~1 <br /> VALUATION: $~, 000. ~& <br /> TOWN~HI~ ..................................... RANGE. [ iO~Ei .... ~ MAp~ <br /> <br />.... ............... .......... <br /> ..... ~ ....... N~ ................. L.. BQ ........ <br /> <br />TYPE= BUILDING <br /> <br />PERHZT OR APPLICATION NO=- 9~5781~ <br /> <br />COMTRACTOR, NO. <br />~Cap~,~ol Awning / Sa~tiaet Ho <br />o18 Valley~ood Dr SE <br />Salem~ ~730& <br />PHONE: <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br /> ITEM QUANTITY AMOUNT <br />~UIL.DING F~E $38.50 <br />PLAN REVIEW $25.03 <br />BUILDING STATE SURCHARGE $1.97 <br /> TOTAL A~SESSED:FEE~ $65.46 <br /> PREVIOUS RECEIPT~ $65.46 <br /> THIS-RECEIPT $0.00 <br /> BALANCE DUE $0.00 <br /> <br />PAYEE: <br /> <br /> RECEIVIED BY: cl ............................................. TYPE: CHECK ~: 0 <br /> <br />$ THIS IS NOT A PERMIT. THIS APPLICATION MUST GO THROUGH A REVIE~ PROCES~ ~HERE THE <br />FOLLOWING ~UST BE COMPLETED. IT IS THE RESPONSiBILiTY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY INFORHATION HAS BEEN PROVIDED. <br /> <br />PLAH REVIEW: BY ~x:~ DATE <br />ZONINg: BY "~2 .............. DATE <br />SEPTIC: BY ........ ~; .................. QATE <br /> <br />C;[TY JURISdICTiON: BY .............. DATE ............... <br />~EMARKS: CARPORT <br /> <br />HEIGHT; 11 SETBACKS: FR 10 <br />TOTAL SQFT: <br />STORIE$~ i RS-6 <br />PLAN~ACTION; AR-lO <br />ENERGY PATH: SP~ .......... <br /> <br />OFFICE COPY <br /> <br /> <br />