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am performing work on a property i Own or Occupy ' <br /> am a r~gistered builder OF[ ) the authorized represer~tabve <br />of ~ registered builder <br />The work wdl be performed by a registered builder <br />Other ............................................................... <br />I ha~e read and agree to the terms stated on the reverse s~de of <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 <br /> CODE-~.PHONE 4::30 PM - 8 00 AM <br /> <br />DATE <br /> <br />ow~TE t 05123/89 <br /> <br /> LOU MAC' S <br /> <br /> TIME: 1:54:48p <br />LUI'4~ ER MFG <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br /> 9493 PORTER RD <br /> AUI~SVILLE, <br />U~E OF BUILDING <br /> <br />OR 97325 <br /> <br />SE <br /> <br /> CONTRACT CITY <br /> <br />I~ARI ON COUNTY <br /> <br />MAILING &DDRESS AGRICULTURAL STAiJCTURE$ <br /> <br />SUBDivISION <br /> <br />NO <br /> <br /> COMMERC I AL <br />OCCUPANCY <br /> <br />PO BOX 199 <br />AUMSVILLE OR 97325 <br />PHONE: 749-1800 <br /> <br />SECTION TOWNSHIP <br />AREA 6 UN~TS <br /> 35.0000 <br /> <br />SITE NUMBER'. <br />RANG~ALUAT ION: <br /> <br />gS ~R[~ SG LOT 1W <br />AC NO <br /> <br />ZONE <br /> <br />CORNER <br /> <br />7090 <br /> <br />IL 60 <br /> <br />NO <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONTRACTOR, NO. <br />LOU MAC'S LUMBER MFG <br />PO BOX 199 <br />AUivLSVILLE OR 97325 <br />PHONE: 749-1800 <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEET ~LIRCHAR~iE -ZONE 2 <br />BUILDING STATE SURCHARGE <br />ZONING SURCHARGE <br /> <br />PAYEE: LOU RAC'S LUlVBER MFG <br />RECEIVED BY: ~ <br /> <br /> 9016197 <br />ARCHITECT/ENGINEER, NO. <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />BALANCE BUS <br /> <br /> QUANTITY AMOUNT <br /> ~50.50 <br /> 32+83 <br /> $3.84 <br /> $2.53 <br /> $2.53 <br /> <br /> $92-23 <br /> $92.23 <br /> $0.00 <br /> <br /> 17232 <br />TYPE~ OK CHECK ~; 1061 <br /> <br />* THIS I6 NOT A PERtfllT. THIS APPLICATION MUST GO THROUGH A R~VI~]~ PROCESS ~HERE THE <br />FOLLOWING MUST BE COMPLETED. IT ZS THE RESPONSIBILITY OF THE APPLICANT TO A2~CJRE THAT <br /> <br />ALL NECE,S.,~RY INF~R~g'iON HAS BEEN PROVIDED. <br /> <br />SEPTIC: BY DATE <br />Z~ZNG: B .~' ~TE~Z~e/~SETBACKS; <br />RE~RKS: ~UCK B~NS & CYCLES ~PL~ R~7658 <br />HEIGHT= 44 TOTAL SQ FT: 0 STORIES: <br /> <br />CITY JURISDICTION: BY ........ DATE ......... <br /> <br /> LS-_~_ ~? ~'" '" <br /> Rs- _ <br /> <br /> PL~ +ACTION; <br /> <br /> <br />