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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 />DATE <br /> <br />ow~fE.: 05/23/91 fINE*, 13:24:21 <br /> <br /> NAl iONAL PORKS] LANL~ <br /> <br /> HALLS RIOGB ~MMI~ <br /> O~: f R[OI OR <br /> <br />DSE OF BUILDINU~ <br /> <br /> TAX LOT CATEGORY <br /> COMMERCIAL <br /> CONSTRUCTION TYPE OCCUPANCY <br /> <br /> 5-N / <br /> CONTRACT CITY UGB OCCUPANT LOAD <br /> <br />MARION COUNIY NO <br /> <br />STRUCTURES OIHER THAN BUILDINGS <br /> <br />HC 6O, MOX 320 MILL CITY 97360 <br /> <br />SUBDIvISiON <br /> <br /> Si~E NU~ER; ~3049 <br /> VALUAf ~: $22,000.00 <br /> <br />08 30 <br /> <br />5E IC <br />NO NO <br /> <br />[YPg; WUILOINS PERMIT OR APPLiCATiON NO: <br /> <br />CON [ RAC l (.,)R, NO. ROHN <br />ROBN COr~MEf';('CiAL PRODUCTS <br />PO BOX 1'/02&9 <br />B ,t RIVl f NGHAM Al. 35217 <br />PHON~: <br /> <br />BUtLD~N~ FEE <br />PLAN RE¥iEW <br />~UILDING S[AlE SURCHAK~g <br />ZONING SURCBAR~E <br /> <br /> 9032410 <br />ARCHITECT'/ENGiNEER, NO. <br /> <br />PHONE; <br /> <br />~JANTiIY <br /> <br />IO1AL ~B~ED FEES <br />PREVIOUS RECEIPTS <br />1HiS RECEIPT <br /> <br />AIVlOUN I <br /> $152,50 <br /> $~9. T 3 <br /> $'/. 83 <br /> $'/. 53 <br /> <br />$o.oo <br /> <br />BALANCE IAJE $288.89 <br /> <br /> PAYEE- <br /> RbCEIVkO BY: F~ IYPE; CHECK ~; 0 <br /> <br />~ [Iqi~ iS NO[ A PERI"4I'I. 'THIS APPLiCATiON MU~T GO TH.%~U~B A REVIEW PROCES~ ~HERE [BE <br />t-OLLOWING MUS[ BE COrclPLErEB. I'f IS 'THE RESPONSiBiLiTY OF ~BE APPLICANT TO ~RE ~H&[ <br />ALL NECESSARY 1NPORh'YIATiON HA,S BEEN PROVIDED. <br /> <br />PLAN REVIEW: BY DATE <br /> Ci/Y JURISDICTION: BY OAI~. <br />SEPflC: BY ,/~ ................... DAIE .......... ,.--"' <br /> <br />// <br />Hh~HI: ~} IOIAL ~Q FI: 0 STORIES; I PLAN.ACtiON: <br /> <br /> OFFICE COPY <br /> <br /> <br />