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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 />I am performing work on a property I own or occupy. <br /> <br />of e registered builde(, <br /> <br /> ¢~ "MI E L' -'CREEK-ES T~TES' .......... <br /> II:~7;~ HILL ~REEK R9 <br /> AUMSVILLE OR 97325 j SiTE HUMBER: 94-~3772 <br /> <br />L~,. ~8LOOK: ~SECTION; ,,TOWNSHIP; i RAN~EI ~ ZONE'. ; MA~'. <br /> <br />TYPE= BUILDIHG PERHIT OR APPLICATION N0: <br /> <br />CONTRACTOR. NO. <br />SANTIAH HOMES <br />1137~ MILL gREEK RD <br />AUHSVILLE OR ?7325 <br />PHONE= 769-7744 <br /> <br /> ITEM <br />BOILBIMG FEE <br />PLAN REVIEW <br />BUILBING STATE SURCHARGE <br /> <br /> ~858471 <br />ARCHITECT/ENGINEER~ N0. <br /> <br />PHONE: <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> <br /> $25.0~ <br /> $1.9~ <br /> <br /> TOTAL ASSESSEBFEES $65.46 <br /> PREVIOUS RECEIPTS '' <br /> THIS RECEIPT <br /> <br /> BALANCE ~UE $8.88 <br /> PAYEE: <br /> RECEIVED BY: DF' . -~--- . TYPE: CHECK ~: <br />$ THIS IS HOT A PERHIT. THIS APPLICATION HUST GO THROUGH A REVIE~ PROCESS ~HERE THE <br />FOLLO#ZNC HUST ~£ CDNPLETED. IT IS THE RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY iHFORMATIOH'H~S BEEN PROVIDED. <br /> <br />PLAN R~VIEW: B' SETBACKS: F'R 10 <br />ZONING. BY HEIGHT:: <br /> TOTAL SQFT: 300 LS-/ <br />SEPTIC: BY .... STORIES: 1 RS-6 <br /> PLAflLACTION: RR-10 <br />CITY JURISQICTION= BY ......... DATE,~... .... ._ EflERG¥ pATH: SP]/ <br />REMARKS: CARPORT <br /> <br /> OFF~CE COPY <br />FORM # MO 15-56 REV, 4~o <br /> <br /> <br />