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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 <br />HOUR CODE-A-PHONE:: 588-7904 <br /> <br />Other <br /> <br />OWNER <br /> DAIE: 10/29/90 lIME.+ <br /> <br />s~rus AooeE~If,}BERf GARFIELD <br /> <br />TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />RFS i DEJ~ I <br /> <br /> CONTRACT CiTY <br /> 200 11FH SI -- 11 <br />u s ~LIb~,~,E OR 973~5 <br /> AUf¥1~V I LLE <br /> <br /> R~;SIDENflAL ACC~RY STRUCTURES <br /> <br />5-~B <br /> <br />NO <br /> <br />OCCUPAN1L~_~.2 <br /> <br />EVER~REEN ES IA'f'ES <br /> <br /> PHONg: 749-1854 <br />LOT BLOCK SECTION TOWNSHIP <br /> <br />'re NUttiER: 11591 <br />RA~CC~LUAilON: ZONE $1,000.00 <br /> <br />8S IRREG LOT ~W CORN~e <br /> <br />fYPE: BUILDING P£RNIt OR APPLiCA'IION NO: <br /> <br />CONIRAi31OR, NO. 382~8 <br /> <br />11373 MILLCREEK RD SE <br />AUr48VlLLE OR 9?325 <br />PHONE: <br /> <br />BUiLOiN6 FEE <br />PLAN REVIEW <br />FLEEr ~RCHAN~ -ZONE 3 <br />BUILDING SIAIE SURCHARGE <br /> <br />PAYEE: SANIiAM MOBILE H(.1C4F_~ <br /> <br /> 9028369 <br />ARCHiIECI'/EN~INEER, NO. <br /> <br />PHONE: <br /> <br />'TOTAL AS,5~EO FEES <br />PREVIC, AJS RECEIPTS <br />THiS RECEIPT <br /> <br />AMOUN~ <br /> 11.~8 <br /> $0.88 <br /> <br />$33.60 <br /> $o.oo <br />$~3.60 <br /> <br />BALANCE 0tJE $0.00 <br /> <br />299?3 <br /> <br /> RECEIVED BY: PR TYPE: IN CHECK ~; 0 <br /> * YHiS IS NO1' A PERT41T+ THIS APPLICATION I~U~T GO THROUBH A REVIEW PROC~.~..~ <br />~¢~L~.~I Bg ~E'fED. ir 18 THE RE~8iBILITY OP THE APPLICANI lO A~RE fHA] <br /> LL ~U~RY IN~O~ H~ BEEN P~IOED. <br /> <br /> ~ CI~Y JURiSDICri~: BY <br /> <br /> ~PflC: BY OA're <br /> <br /> Z~IN6~ BY DAre 8E]BAC~: FR 0 ~ 25 ~ 0 RR 10 SP <br /> <br /> HEIGHI; 12 tOTAL ~ FI~ ' 2~0 8'fORiES: 1 P~.ACTi~: <br /> <br /> OFFICE COPY <br />FORM # MC ~5,,~6 REV 4/9a <br /> <br /> <br />