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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO, 225 <br /> 220 H~GH STREET NE <br />~, SALEM, .OREGON 97301 <br /> <br /> ,,, PHONE $$8-5147 <br /> CODE-A-PHONE 4:30 P.M. - 8;00 A,M. <br /> <br />Other <br /> <br />S ~ .E,.,,,:N8 ERG ,, MR_ <br /> <br />9053 SHAW SQUARE RD <br />,AU~SV Z LLc <br /> MARION ~NTY NO <br />use OF BUILOING; <br /> <br /> RE,~ I I..,EN ~: [AL <br /> i CONSTRUCTION TYPE; : occupANcy; <br /> <br />97325 <br /> <br />MAILING ADDRESS: R~SIODWTIAE ACC~SC)RYSTROOTUI~S' ......... i ~UBD v S ON: <br /> <br />PHONE: i SITE NUMBER: 3822 <br /> . VALUA~IQ~; , 2~0. <br />LOT: BLOCK; [S~CTION~ ',TOWNShiP: ~ RANGE: ZONer : MAP: <br /> <br /> 160 542 8~880 Sr ...J NO N0 <br /> <br />TYPE; BUILDING PERMIT OR APPLICATION NO; 90065?5 <br /> <br />CONTRACTOR. NO. 43844 <br />WHITE STEPHEN <br />2175' FERN RIDGE RD SE <br />5,AYTON, OR 97383 <br />PHONE: 859~2883 <br /> <br />ARCHITECT/ENGINEER, NO- <br />PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />PLEET SURCHARGE -ZONE 3 <br />BUILOZNG ST~'TE ~URCHARGE <br />ZONING SURCHARGE <br /> <br />TOTAL <br /> <br />QUANTITY A~}UNT <br /> $50.50 <br /> $32.83 <br /> $3,84 <br /> <br /> $2,53 <br /> <br /> $92.23 <br /> PR~'~ou~ R~CE~PTS <br /> ,'PHIS RECE.P~ .,9~ 23~ o · <br /> . , , : ,,~" ~CE DUE $C.OO <br /> <br />PAYEE; ~i~,-FE, STEPHEN ~ ~ 7187 <br /> <br />· THIS IS NOT A PERMIT_ THIS A REVIEW PROCESS WHERE <br />FOLLOWING MUST 8E COMPLETED_ IT tS OF THE,APPLIOAN~ TO ASSURE fltAT <br />ALL. NECESSARY INFORMATION HAS BEENRROW~OED~ <br /> ,, <br />~i...AN REVIEW= BY~ _ OAT <br /> <br /> CITY JWRZSD~CTZON: 8Y <br /> <br />SEPTIC; BY DATE <br /> <br /> S~T,.ACKo: <br />RE~ARKS: ~POR]' - ONE END OPEN R~8918 <br /> TOTAL SQ FT: 842 STORIES: ~ P~AN..A~T;ON. <br /> <br />OATE ........... <br /> <br /> BP--____ <br /> <br /> <br />