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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 588-5147
<br />CODE-A-PHONE 4:30 RM. - 8:00 A,M,
<br />
<br />SIGNATURE OF APPLICANT:
<br />
<br /> DATE:
<br />
<br />GWNS~:r~Z~'~"E' .... 09/12/89
<br />
<br /> 9]0 lOTH ~.:~[_
<br /> ,¢,Li ?!SV ! L L_E
<br />
<br />USE Ge BUILDING:
<br />
<br />TIME: 9:00:0!a
<br />
<br />OR 97325
<br />
<br /> TAX LOT:
<br /> 90061-00'i
<br /> CONSTRUCTION 'i'YPB:
<br />
<br />CONTRACT CI~Y:
<br />AUHSV: L LE NO
<br />
<br />CATEGORY:
<br />
<br />OCCUPANCY:
<br />
<br /> R-.3
<br />OCCUPANT LOAD:
<br />
<br />NO OF SEDHOOMS:
<br />
<br />MAILINGADDRSSS: ,DZN,.:,=~- FAH:LY D~'ELLINGS'
<br />
<br />RQ E'.OX '1 _2.5
<br />aL~ .Pa.."Y OR .} ..... 3
<br />s>k.¥,..)NE: ~ m -.
<br /> ?5.-?364
<br />
<br />LOT: BLOCK: SECTION: TOWNSHIP:
<br />
<br />SUBDIVISION:
<br />
<br />GILOON
<br />
<br />SITE NU,,BER_ 8338
<br />V, .LUAT ,~ O]',,; $&;, 5~)3,
<br />
<br />3
<br />
<br />73,
<br />
<br /> AREA:
<br />
<br />1 0~
<br />
<br />95 UNrrS~
<br />
<br />8S IRREG LOT: 2lA[ OORNEH: F~ 6 ']
<br />SF YES NO
<br />
<br />]"Yf~E: 8UILDING
<br />
<br />CONTI:,,ACTGR, NO.
<br />TO!v! DORAN
<br />PO 8OX '185
<br />S(JB L I',,~: TY 9?385
<br />P!.i(}NE: 78!:1-7364
<br />
<br /> PERHIT OR APPLZCAT!ON NCC
<br />55493
<br />
<br />3U:'L0!NG FEE
<br />PLAN REVIEW
<br />FLEET SURCHARGE *-ZONE ,3
<br />8U I LDING STATE SURCHARGE
<br />
<br />PA¥'EE~
<br />RECEIVED
<br />
<br />'~ :HiS iS A VALID
<br />CONSTRUC'?"ON CEASES FOR
<br />:'::EGL~[REi'4ENTS Of:; STA"r'E
<br />SHALl,, BE(X'.)rvE NLILL AND
<br />
<br /> 18774.
<br />
<br />ARCH .["Ft,:,C ~
<br />
<br />PHONE:
<br />
<br />.~OTAL' ASSESSED
<br />
<br />-HiS RECE!P~
<br />
<br />DUE
<br />
<br />QUANTITY A~OLNT
<br /> $2!:.9,?
<br />
<br /> $!3.55
<br />
<br />$36~_. ,.,..~
<br />
<br /> Sa.
<br />
<br />SO,C'",
<br />
<br />I ]~,'"¢'S ISSUE DATE.. :F
<br />;IO~",, FAILS TO !~EEE"F ,aLL,,
<br />i~,~. ]G Qo '~ r ~., ~,:,'"~:.~: "': n ~,:) ~ ."."."!:~!~:
<br />
<br />2, E TSACi<S:
<br />
<br />"~ E E GH i"
<br />
<br />::~':2)!'4/. b. E; E
<br />
<br />!:-- R--:~ 0 I._S-S RS-E :':
<br />
<br />:,,,)QOi::L, EY, I'4ARI. ON ::}:]UN':-"' SL.IILS!N80FFIC, i,,',~,L / BY
<br />
<br />
<br />
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