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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:588-514'7 8:00- 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />Other <br /> <br /> DA'rE: 05/28/92 TIME: 8:32.'4.6 <br />OWNER: , TAX LO]'; CATEGORYI <br /> SANFiAM S~iI'ARY SE~/BRENT~A, ~ : 56282-000 <br /> <br />S)TUS ADORESS: CONSTRUCTION TYPE; ~CUPANCY: <br /> 5~ B-2 <br /> 9813 MiLL ,CREEK RD -- : bb~ACT 8iTY: ' uee; OCCUPANT LOAD: <br /> ~W LLE 97 3~5 <br /> AU~Z LLE NO <br /> <br />PELTiER REALTY <br />PO BOX 189 E~JBLiMI't'Y <br />PHONE: <br /> <br /> 769-2900 <br /> SI'rE NUFIBER; 92-00508 <br /> VALUATION: $0.00 <br /> <br /> 30 , 3S 1N : IND <br />188 264 ~ SF! Y~ NO <br /> <br />TYPE= BUILDING PER~iT OR APPLICATION NO: 40210 <br /> <br />ARCHiTECT/ENGINEER, NO. <br />PHONE= <br /> <br /> ll'B~ <br />BUILDING FEE <br />BUILDING STATE SURCHARGE <br /> <br />r~}Ll~'l'i'I'Y <br /> <br />$~o.oo <br />$o.5o <br /> <br />'FO'FALA,%S~ED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEiPT <br /> <br />$10.50 <br /> $o.oo <br /> <br />BALANCE DUE $0.00 <br /> <br /> PAYEE: <br /> RECEIVED BY: pbs' TYPE: CHECK ~.* 0 <br /> <br />~< THIS IS A VALID PEF~liT m THIS PERHiT EXPIRES 180 DAYS F~ ITS i~E DATE. iF <br />~T~CTi~ C~ FOR A PERIOD OF 180 DAYS, OR IF ~ST~C'rI~ FAi~ TO NEET ALL <br />RE~IREM~TS OF 8TAI'8 ~ ~O ~Rl~ O~NI'Y BUILDING ~D Z~ING ORDIN~CES, THIS PERMi1 <br />~ALL BEdE NULL ~0 VOID. <br /> <br />ENERGY PATH: <br /> <br />SETBACKS: FR L~ R~5 RR SP <br />RE,WIARK~: DE3V~E~T~ON OF'"'E~'~STIN~-OFFiCE .............. <br />HEIC,T4~I': TOTAL ~F't': 400 SI'ORiE~ 1 <br /> <br />OCY4ALD E+ WOODLE¥, ¢4ARION ~NTY BUiLDiNG OFFICIAL / BY <br /> <br /> OFFICE COPY <br />FORM # MC 15-56 REV, <br /> <br /> <br />