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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 /> 6WN~ , ............................................... " <br /> ~I:IR[NQ~ BOB & [;:CNA F;:S]'DE'.tTTAI <br /> <br /> 2~ ~I & BELLEVUE DR -"' &~ ~ f'-r~; ~YANT LOADz <br /> <br /> KEStDENTIAL ACCESSORY STRUCTURES <br /> <br />~ ~ HELL C~EEK ESTATES <br />; 1~Z73 ~II,.L CREEK RD SE <br /> ~UHSV;d_LE. OR ~7325 SITE NUMBER] <br />i FHONE: 76~,-,7744 I VALUATION: <br />, <br />~ ~ i zo~: <br />~O '. OC '. ~SECT ON TOWNSH P; ~ RANGE'. I M~P~ <br /> <br /> .................... ................... ................. , ,, <br /> <br />TYPE: BUILDING <br /> <br />PERNIT OR APPLICATION NO: <br /> <br />ARCHITECT/ENGINEER~ NO,, <br /> <br />PHONE: <br /> <br /> ITEM QUANTITY AHOUNT <br />BUILD]:IqG FEE: $44.50 <br />F'LAH REVIFW $28,, 93 <br />BIJILDIN(;; STAI'E SURCHARGE $2,,23 <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE,DUE <br /> <br /> $0.00 <br />$75.66 <br /> <br /> FAYE .....Oapztol Awn~q / Santiam Homes 62696 <br /> R~:LE.~VED BY,, PM TYPE: IN CHECK ~: 0 <br />* THiS IS NOT A PERHIT. THIS APPLICATIONMUS¥ GO THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING ~gST BE COMPLETED. IT IS THE RESPONSIBILITY DF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY IHFORHATION HAS BEEN PROVI~EB. <br /> <br />SETBACKS: FR 10 <br /> LS <br /> <br /> RR-10 <br /> SP .... <br /> <br />,:'LAN <br /> HEIGHT: <br />ZONYN(;[ BY ,~ ....... DAT~ ........... TOTAL SQ F'f: <br />SEPTIC: BY ....... Z// .............. DATE ................... ~TORIES: <br /> .......... ~ .................................... PLAN.ACTION: <br />CITY JURISDICTION: BY .......... DATE .............. ENERGY PATH: <br />REHARKSD MF'(; HQME~ CARPORT - ~P~69 - MILL DREEK ESTATES <br /> <br />OFFICE COPY <br /> <br /> <br />