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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 8::00 - 4::30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br /> Ct a registered builder, <br /> <br /> Other_. <br /> <br />oArEt 10/26/90 'riME: 15:37:51 <br /> EVERGREEN ES'fATES 62 SP <br /> <br />SITUS ADDRESS <br /> <br /> 200 11 rH <br /> AUIvF3V i LLE <br /> <br />OR 9?325 <br /> <br />USE OF BUILDING <br /> <br /> STRUCTURE~OTHER THAN BUiLDING~ <br /> <br /> 3867 WOLVERINE NE ~t4 <br /> ~LEN OR 9?305 <br /> PHONE: 581-1965 <br /> <br />LOT ~LOCK SECTION TOWNSHIP <br /> <br />DATE <br /> <br /> CONSTRUCTION TYPE <br /> 5-N <br /> <br />AUI~VI LLE NO <br /> <br />CAT'GORY CT.~Ek'C I AL <br /> <br />OOCUPANCY <br /> <br />OCCUPANT LOAD <br /> <br />EVERGREEN ES I'A'T'ES 62 SPACES <br /> <br />SiTE NUIVSER: 70 <br />VALUATION= $?.500.00 <br /> <br />IRRE~ LOT YE5 c°~Nrf~O <br /> <br />BUILDING PERMIT OR APPLICATION NO: <br /> <br />CONFRACIOR, NO. 5231~ <br />JINEO FENCE <br />8293 8HAN SQUARE NE <br />AUI',~ViLLE, OR 97325 <br />PHONE: 364-1919 <br /> <br />BUILDING FEE <br />PLAN REWIEW <br />FLEE1 SURO4ARGE -ZONE 3 <br />BUILDING SFATE E~JRCHARGE <br /> <br />PAYEE: <br /> <br /> 9028350 <br />ARCHiTECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOFALAE~ED FEE3 <br />PREVIOUS RECEIPTS <br />lIIHI8 RECEIPT <br /> <br />OUAN~IfY <br /> <br />$88.50 <br />$44.53 <br /> <br />~t20.30 <br />120.30 <br /> $o.oo <br /> <br />BALANCE DUE $0. O0 <br /> <br /> RECE,IVED BY: Pr TYPE: CHECK ,I~: 0 <br /> <br />~< 1HiS 15 NO1' A PERMIT. IHI8 APPLICATION MUST GO THROUGH A RE~/iEN PROCE,?~ NHENE I'HE <br />FOLLOWING MU~F BE CO~PLE'IED. IT i~ THE R~SIB/LITY OF THE APPLI~T fO ~URE ~HA~ <br />ALL NEC~RY iNFO~AIION H~ BEEN P~ViDEO+ <br /> <br />CiTY JURISDICIrlON~ BY <br /> <br />~EPFIC: ~Y DATE ................... <br /> <br />~ONING: BY DATE SETBACK~S: FR LS RS RR <br />RE.C~AR~: ?'FENCE .............................. <br /> <br />HE[G,'Hr: IOrAL ~ ET: 8 STORIE~: PL~N.ACTION: <br /> <br />SP <br /> <br /> OFFICE COPY <br />FORM ~ MC 15-5~ REV 4/~ <br /> <br /> <br />