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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: 585-5147 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br />SIGNATURE OF AFPLIOANT; ....... <br /> <br /> CATE'. .................................. <br /> <br />OWN~.T E .- ~[ 1/07/91 <br /> <br /> r~iBSON, OLE'r.:rA <br /> <br /> 30? CHURCH <br /> AUI'4SV I LLE <br />USE OF 9UILDIN~: <br /> <br />"TSt4E: 8:~1:05 fAX Lb~ ........................... CATEGORY; <br /> <br /> ................... 900B0'=2QD .................................~E~' IDENI' <br /> :ON~YRUGTION TYPE;r ~OCCUPANCY: <br /> "bO~T~b~ dl+~'~ ......... ~; ............. ~8-6~Fi~"ES~~ ......... <br /> <br /> ............................. ~'['Eu~ ................... 'mu ........... ~6;'6~"A6'~o0~¢ .... <br /> <br />MAILING ACCRES~:' SINGLE P/~IlLY B~ELL'ING$ <br /> <br /> PO BOX 855 <br /> AUMSVi LLE 9?325 <br /> PHONE: 749-1464 <br /> <br />WICT~4: 5 ~ ' ~O~P~H' ~ AREA ~' UNITS <br /> ,1,o~ . . 1uu 1080G. <br /> <br />..................................... .f4ERR.I. Fa~rE, L- ~-ADDN, .............................. <br /> <br /> BITE NUCClBER: 5686 <br /> <br /> 8S "~A~;-Eb~T-~"--~:~-''-~ ....................... <br /> <br /> ~ ............... ~. ~ ......... X~ ............ <br /> <br />TYPE: BUILDING PERIVllT 014 APPLiC. AI'ION NC): <br /> <br />,C,?. N'~RACTOR. NO. <br />GIBSON, OLET'FA <br />PO BOX 855 <br />AUMSVI LLE 9?325 <br />PHONE.' 749-1464 <br /> <br /> I 'FEN <br />BUiLDiNG FEE <br />PLAN R~::',/l ¢'W <br />BUILDING B'f'A'1'E SURCHARGE <br /> <br /> 36203 <br /> <br />ARC14 I TBC'f /ENGiNEER, NO. <br /> <br />QUANT i TY <br /> <br />AiVlGUNr <br /> $38.bU <br /> $25.03 <br /> $1_93 <br /> <br />¢65.46 <br /> 65_46 <br /> $0.00 <br /> <br />BALANCE ~JE $0.00 <br /> <br /> PAYEE;: <br /> RECEIVED BY: PB TYP~.: CHECK ~: 0 <br /> <br />~ 'l'hi~ ~5 A VAL~,D PE~iT TM THi~ PE~l'f' ~PiRES 180 ~ ,P'~ i]'~ l~g DATE. <br />C~ST~CTI~ C~E~ FOR A PERIOD OF 180 ~. OR 1¢ ~T~O~I~ FAi~ T~ MEET ALL <br />R~IRE~ENTS OF STATE ~ ~O ~RI~ ~NTY BUILDING ~;'Z~iNG ORDiN~C~, THiS PE~I I' <br />~ALL DE.ME NULL ~O VOID. ' ' '. ~' : <br /> <br />SETBACKS: ER 20 L3 8 RS 20 RR...8 SP ............. <br />REMARKB: u'rlCI'r¥ ROOf4 AD~q : : <br /> <br />HEIGHT: 11 TOTAL ~ FT: ~20,, B'roRiB~: <br /> <br />[Y.,)NALB E. VCDODL~(, ~ARION C~N'¥Y BUILDING OFFICIAL / BY , !:,::!., <br /> <br />FORM # MG ~ [~,56 RE'V, 4/90 <br /> <br />OFFICECOPY <br /> <br /> <br />