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DATE: 09/03/91 'f' l. r4g .- 9:69:44 <br /> <br />OWNER: KLE~;'',.,.~,~ LARRY <br /> <br /> 9804 NIILL CREEK RD <br />AUMSV l LLE <br /> <br />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 /> DATE~ <br /> <br />,SE <br /> <br />USE OF BUILDING: <br />MAILING ADDRESS: <br /> <br />OR 9?325 <br /> <br />OTHER NON-RE,SlDEN'rlAL 8UILDINC~ <br /> <br />: ~TION: : TOWNSHIP: <br /> 8S <br /> <br /> PHONE: <br /> <br />LOT: ! BLOCK: <br /> <br />WIDTN: :DEPTH; <br /> <br />MARION COUNTY <br /> <br />SU BD~VISION: <br /> <br /> NO <br /> <br /> FLOODPLA i N <br /> <br /> ,!5i 'r E NUfVI~ ER.+ 5084 <br /> VALUA f' 1 ON: $9.400 <br /> <br /> ~W EP'U <br />m~E~..OT: NO ~C°"~E~O <br /> <br />rYPE: BUiLDiNG <br /> <br />CONTRAC'f'OR. NO. <br />KL. EIN, LAR~Y <br /> <br />PERIVlIT OR APPLICATION NO: 9034868 <br /> ARCH['f'EC'I'/ENGiNEER, NO. <br /> <br />PHONE: 749w2405 <br /> <br />PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDiN6 S'fAIE fBURCHARf~E <br />ZONING SURCHARGE <br /> <br />TOTAL .A~E~ED FEES <br />PRE¥ir..I. JS RECEIPTS <br />'T'HI$ RECEiP'f' <br /> <br /> ("~LANCE BtJE <br />PAYEE: CREEK,SiB~' FLESHING/LARRY KLEIN '}k,,,._I <br />RECEIVED BY: Of~42 ..................................... ~,B= ................. ~ TYPE: CK <br /> <br />~AN'I'iI'Y <br /> <br />AIv!OUNT <br /> <br /> $52.33 <br /> $~.03 <br /> 4.03 <br /> <br /> $o.oo <br />$140.89 <br /> <br />$0.00 <br /> <br /> 36741 <br />C~ECK ~: 2444 <br /> <br /> ~ THiS IS NO'f A PERIvli'T'. THiS APPLICATION fvlUS'r GO 'rHRCOGH A REVIEW PROCE,S8 WHERE THE <br />F'OL. LOWIN8 r.,'Ll~l' BE CO¢flPLEI'EB. Il' iS THE RE~PC,'NSiBILITY OF1HE APPLICANT TO ~URE THAf <br />ALL NECE~ARY iNFORMATION HAS BEEN PROVIDED. <br /> <br /> CITY JURI,SDiCTioN: BY DATE <br /> <br />~EPFIC: BY ......................................... DATE .................................................. ~ ~ <br /> RG.,<:?,..."' ......... _._'7. <br />REIvlARKB:~'~TO'"'~'~NK PLART .............. R~3420 P'R .... RR~'~ SP <br /> <br />HEIGHT ~ 16 TOI'AL ~ FT 1080 ,STORIES: 1 PLAN.ACTiON: <br /> <br />FORM # MC 15-58 REV, 4/90 OFFICE COPY <br /> <br /> <br />