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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 - 4:30 <br />24 HOUR CODE-A-PHONE',' 588-7904 <br /> <br />°W~TC~ 06/20/90 rIME: 13:08~.21 <br /> <br />S~TUS oons~VERGREEN 6STA'fES <br /> <br />TAX I~OT <br /> <br />CON~TnUCT~ON T¥~E 57?06--000 <br /> <br />OCCUPANCY CO'~¢4ERC J AL <br /> <br />20O llIB N <br /> <br /> CONTRACT CI"~Y <br /> <br />AU~SViLL~ <br /> <br />NO <br /> <br />~ I LE BOME PARK OEYE. LOP~I <br /> <br /> ~867 IAIOLVERiNb Nb- <br /> SALEM OR 9'1305 <br /> PHONE: 581-1965 <br />LOT BLOOK <br /> <br />SIT6 NUI'aBF'R; <br />R^NCAUJAT ION: <br /> <br />BUILDING PBRMI1 OR APPLICATION NO: <br /> <br />CONFRACFOR, NO. <br />EVERGREEN ESIA')'ES <br />986? h~OLVERJNE N~ <br />$ALB~ OR 9?305 <br />P14ONE: 581-1965 <br /> <br /> iIEM <br />BUILDING FEE <br />PLAN REVIEW <br />FLEEr SUk"C~A~E -ZONE 3 <br />~UILOiNG ~'¥Af~ ~3URO~ARG6 <br />AODIflONAL 5URf. c,'HA~ES <br /> <br />9025826 <br /> <br />'TOIAL A,SS~E'D FEE5 <br />PRE¥10iJ8 REFEiP'r$ <br />1Hi5 RECEIPf <br /> <br />fJtJANIlIY <br /> <br />AMOUN'I <br /> $900.50 <br /> $585_33 <br /> $3.84 <br /> $45.03 <br /> $135.08 <br /> <br />$1,669.?8 <br /> $o.0o <br />$1,669.78 <br /> <br />BALANCE g~)6 <br /> <br /> PAYEE; b-VERGREEN bS[Al~5 26491 <br /> FYPE: IN CHECK ~: 0 <br /> CEIVEO BY. PB ........... <br /> <br /> ~ FHIS iS NOT A PER:Mil. 'THIS APPLICAFiON MUS'I GO THROUGCH A REVIEW P~,)C~'.J~ ~dERE tHE <br />FOLL~iNG ~S'1 BE ~PLEIED. i1 i~ THE R~SIBiLI1Y OF THE APPLIC~I 10 ~URE IHAi <br />ALL NECE~RY INFO~TI~ H~ BE~ P~VIOEO. <br /> <br /> CITY JURI$DIC~I~: BY OAf~ <br /> <br />5EPflC~ BY ................. OAF£ ....................... <br /> <br />ZONING: BY DA)E SETBACKS~ FR,20 L,,5,5 <br /> <br />HEiGH]: I'OIAL SQ Fl: 0 <br /> <br />OFFICE COPY <br /> <br />g~5 RR.5 ~P .... <br /> <br /> <br />