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MARION COUNTY BUILDING INSPECTION <br />SENATORBLDG 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 />of a registered builder, <br />The work will be performed by 8 registered builder <br />Other. <br /> <br />0ALE: 1'Ii19/91 ]ilVlE: 11;52:14 <br /> <br /> LANKFORU, BOB R. <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LO~ <br /> <br /> CONSTRUCTION TYPE <br /> <br /> 11688 WARf~LER LANE NE <br />AURORA OR 9?002 <br /> <br />USE OF BUILDING <br /> <br /> CONTRACT CITY <br /> <br />IVlARtON COLIN l Y <br /> <br /> RE$1DENI-iAL, ACCE~RY STP. LICfURE~ <br />MAILING ACORESS ~,/~. '*il~ SUBDIVISION <br /> AL SCHMIDBAMER -- AGENT 654-4tY9 <br /> PO BOX 5,8,59? OAK GROVE, ORE 972_8_8~/ ¢ ~ <br /> PHONE; 6(8-116] <br /> <br />5~N <br />, UGS <br /> <br />10 19 33 35 <br /> '10 10 ? S F <br /> <br />NO <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />UENIURY M~ADOW5 PHASE 4 <br /> <br />5I TF.., NUMBHR: 7069 <br />VALUAT iON: $2,000.00 <br />RANGE ~ONE MAP <br /> <br /> AR <br />IRREG LOT ' GORNEF~ <br /> NO <br /> <br />TYPE: ~UILDiNG PERMIT OR APPLICAf'ION NO: <br /> <br />CQNfRACIOR. NO. <br />LANKFORO. 8~ R. <br />AL 5CHMIDHAMER - AGENT 654- <br />PO BOX 6859? OAK GROVE. ORE <br />PHONE: 6~8-1181 <br /> <br /> 9036886 <br />ARCHI'T'bCf/BNGINEHR. NO. <br /> <br />PHONEt <br /> <br />BUILDING FEE <br />PLAN REVIEW <br /> <br />ZONING SURCHARGE <br /> <br />TOTAL ~E$SEG FEES <br />PRE¥If,..!tJS RECEIPTS <br />THIS RECEIPT' <br /> <br />BALANCE OUE <br /> <br />QUAN 1 I 1 Y <br /> <br />A~OUNT <br /> ~32.50 <br /> 21,,13 <br /> $~.83 <br /> <br /> $56.89 <br /> $o.oo <br /> $56.89 <br /> <br /> PAYEE: ALFRAN, iNC+ ~ 38836 <br /> <br />~ TH15 i5 NOT A PERMIT. THiS APPLICATION MUST GO f'HROUFC-~ A REViE~ PF:,'OCES5 WHERE <br />FOLLONING MUSl BE COMPLETED. Il 15 THE RESPONSIBILITY OP THE APPLiCAN! TO ASSURE lHAl <br />ALL NECE~ARY INFORmATiON HA~ $~EN PROVIDED. <br /> <br /> CilY JURiSDICTiON: BY DATE <br />SEPT lC: 8Y DAI~ <br /> <br />R~ARK~: ~RT .... R~3~58 ........................... <br />Hg[GHI: TO~AL SQ PI: 0 STORIES: 1 PL..AN.ACllON: <br /> <br />OFFICE COPY <br /> <br /> <br />