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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 />of a reglstBred builder, <br /> <br /> DAIS: 07/1 b/gB ] II'~E: <br />OWNBR <br /> <br />8:08:0~ <br /> <br /> 200 1 l'f'H N <br />AUM~VI LLE OR 97325 <br /> <br />UBE OF BUILDING <br /> <br /> TAX LOT CATEGORY <br /> 57'/08-000 C~4ERCiAL <br /> CONST~UOTION TYPE OCCUPANCY <br /> <br />CONTRACT CITY UGB OOCUPANT LOAD <br />AU~VILLE NO <br /> <br /> Hf'""~" ."*',/~,,~,,-.,/ ~-"~¢~i"~.,5,L~_.~.~fc'A~ EVE~R~N E~'I'A1ES 62 SPAC~ <br /> <br />OR 97305 <br />581-1965 ~iIE NU~ER: "f0 <br /> VALUArt~: $287,000.00 <br /> <br />386 1234 ~¢F Y~ NO <br /> <br />~YPS= BUiL.DiN(~ P~.R~iI OR APPLiCATiON NO: <br /> <br />OONIRAOTOR, NO. <br /> <br />3887 ~OLVERINE NE ~4 <br />5~LS~ OR 97305 <br />PHONE: 581-1965 <br /> <br /> ifE~ <br />BUILDING PEE <br />PLAN RE¥1SW <br />FLEEr SURChARgE -iONS 3 <br />BUILDING STATE t~JIk~g~qARGE <br />ADOIfIONAL ~SURC~ARG~ <br /> <br />PAYEE; <br />RECSiV~D BY: PfC <br /> <br /> 25026 <br />ARCHirSCf/ENGiNSER. NO. <br /> <br />pHr, iXqE: <br /> <br />QUANTIFY AtgI,~NI <br /> ¢900.50 <br /> 585.33 <br /> $3.84 <br /> $45.03 <br /> $135.08 <br /> <br />TOTAL ~E,S~EB PEE~ <br />PREVIOUS RECEiPtS <br /> <br />$1,B59.78 <br />$1,569.78 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br />TYPE+* CHECK ~: 0 <br /> <br /> * 1H15 15 A VALID PER~I~ <br />CONS[K%JCTtON CF..A~SS F~R A PERIOD OF 1BO DAYS. OR IF ~8F~CFi~ FAiL~ TO MgEf ALL <br />R~UiRE~ENIS OF SIA~E ~ ~O ~R~ ~NTY BUILDING ~D Z~IN~ ORDtN~CE~, 1His PE~i1 <br />~ALL 8EO~E NULL ~0 <br /> <br />$$1BACKSt FR 20 L8 5 R;S 5 iRR <br />RbJ',IARKSt t~08~LE HOf~E PARK'DEWELOP~E~T ......... <br /> <br />IdEiC4d~: fOTAL 5Q ~T: 0 S'~ORiES: <br /> <br />~ALD E. ~DLE~, ~RI~ ~N'TY 8UILDiN~ OFFICIAL / BY <br /> OFFICE COPY <br /> <br />PLAN. AC1 ION: <br /> <br /> <br />