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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 />NAI[ONAL FOREST LANDS <br /> <br /> L)~fRZOf <br /> <br />MSb OF BUILDING <br /> <br />HALLS R~L)GI~ SUfV~4IT SE <br /> OR <br /> <br /> TAX LOT <br /> <br />CONSTRUCTION TYPE <br /> <br />CONTRACT CITY <br />I'4ARiON COUNT Y <br /> <br />5-N <br /> UGB <br /> <br />NO <br /> <br />CATEGORY <br /> COMIVfb RL; 1 AL <br />OCCUPANCY <br /> <br /> r~-2 <br />OCCUPANT LOA0 <br /> <br />NO OF <br /> <br />INS *ooRrss 5 1 RtICIURP~S 0 fHkR :THAN 8Ii iLOiNC~ sueowlmoN <br /> <br />DEIR-RNUR HCGD BOX 390 I~iLL. ~IIY <br />5MR Nk/~K,~RK /g28 NW EYERETI ~}RTLNO <br />PHONk; ~28-22~2 <br /> <br /> 5lIE NU¢4!,¢ ~R: 13049 <br /> VALUA f ION: $'2,,.9,000_ O0 <br /> <br />10 5E TC 104 <br /> NO NO <br /> <br />TYPE: BUIL~tNG P~f4NII OR APPLiCAFiON NO: <br /> <br />324~0 <br /> <br />CONIRACIOR, NO. ROHN <br />KX3HN CO~VllVI~RCiAL PRODUCT5 <br />I;>0 ~OX 170249 <br />~ IR~INGHA~ AL 3591'? <br />PHONE: <br /> <br />ARCHI IECT/ENGiNkER, NO. <br />PHONE: <br /> <br /> i FE~ <br />~¢U ILDiNG etk <br />PLAN REVi kW <br />I:JU I LO 1NG !~ TAT E SLU¢CBAK"GE <br />ZON J NG 5U RCHARG~ <br /> <br />QUANTIFY <br /> <br />AIvlOUN I <br /> $152.50 <br /> $99_ 13 <br /> <br /> $'T 53 <br /> <br />IOTAL A~SkS,,SED <br />PREVIOUS <br />THiS RECEiP'I <br /> <br />~ALa'.NCE OUE $8,00 <br /> <br /> 'P&YEk: <br /> r,!bCi;tVaD BY: PB TYPE; CHECK ~: <br /> <br />¢ IHI5 IS A VAkl9 PERNIf ~ TNi5 PE~I/ EXPIRES 180 D~Y5 PRO~ iT5 iSSUk DATE. <br />UONSIR~CIiON CEASe5 POR A PERIOD OF 180 OAYS, OR iF G~NSIRUGIiON PALLS fO MEET ALL <br />Wg~UiREMENI50P STALE LAWS AND ~RiON COUNFY BUiLDiNG AND ZONING ORO[NANCES, f~15 <br />5HALL ~kC(:)~E NULl_ AND VOID, <br /> <br />PLaN.ACTION; <br /> <br />FORM # MC 15-56 REV 4/90 OFFICE COPY <br /> <br /> <br />