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MARION COUNTY BUILDING INSPECTION <br />SEN. ATOR'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 />Other <br /> <br />DARE: 06/04/90 TINE: 15:01 <br /> NA~RIH, d <br /> <br /> 985 OL.NEY Sf <br />AUtC(:SV [ LLE OR 97S25 <br /> <br />USE OF BUILDING <br /> <br /> 52283-208 <br /> <br />AUtflS¥~ LLE NO <br /> <br />COMMERCIAL <br /> <br />PO ~OX 170 <br />AUMS¥1LLfc.. OR 9'1325 <br />PHONE.* 364~8479 <br /> <br />249 318 79182 <br /> <br />SITE NUMBER: <br /> VALUA I ION: <br />MANGE <br /> <br />IRREG LOF <br /> NO <br /> <br /> 10345 <br />$28,000.00 <br /> <br /> iNL) <br /> <br />NO <br /> <br />51 <br /> <br />IYPE: BUILDING PERMi! OR APPLICATION NO: <br /> <br />CONFr,~CIOR, NO. 55760 <br />J.~. NA~RIH <br />8058 S~LV~R FALL,5' HWY SE <br />AUIv~ViLLg OR 9?325 <br />PHONE: 364-84?9 <br /> <br />BUILDING FEE <br />PLAN R6V1EN <br />PLE~} SURCHARGE -ZON~ 3 <br />BUILDING SfAIE ~SURC~ARGE <br /> <br />9024587 <br /> <br />ARCHITECI/ENGINEER, NO. MULfl <br />~ULII/IECH <br /> <br />SALEM OR 97302 <br />PHONE: 363-9227 <br /> <br />QLI~N'4IIfY <br /> <br />TOTAL A~E,SS£D FEES <br />PREVIOUS RECEiP1S <br />THIS RECEIPT <br /> <br />AMOJN I <br /> $184.00 <br /> $'119.60 <br /> $3.84 <br /> $9.20 <br /> <br />$315,64 <br /> <br />BALANCE DUE $0.00 <br /> <br /> PANEL; J.M, NALX¢NORIH ~ , , 26038 <br /> <br />* IH/G IS NDI A PERI~4IT. THiS APPLICAIION l'¢/JS~ f.L~) ]HRf,)U~H A RgVIEN PR~g~ ~ERE THE <br />HOLLO~ING ~l BE C~PLEfEB. ilI 13 THE ~S18ILlfY OF IHE APPL1C~I fO A~RE <br />ALL NECE~ARY INPO~ll~ H~ 8BEN P~VJDED. <br /> <br />$~PIIC: BY ........... DArE ............... <br /> <br />~ONiNG: BY gAl~ SEIBACKS: <br />REIVlARF~: PN~SE Z ''~iNt STOP, AGE ..... <br /> <br />Hk[C~l: 14 TOTAL SQ F~: 4000 <br /> <br /> CiIY JURISDIC[ION: BY .... DATE <br /> <br />FR.N/A L~.N/A ~ N/A RR N/A ~P <br /> <br />$IORIES: 1 PLAN.ACIION: <br /> <br />OFFICE COPY <br /> <br /> <br />